| Medical Specialist Of Acadiana, Llc | |
|
310 Youngsville Hwy Lafayette LA 70508-4524 | |
| (373) 356-5739 | |
| Not Available |
| Full Name | Medical Specialist Of Acadiana, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 310 Youngsville Hwy, Lafayette, Louisiana |
| Authorized Official Name and Position | Cesar A Ramirez-astacio (OWNER) |
| Authorized Official Contact | 3373565739 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Specialist Of Acadiana, Llc 106 Gatesmere Ct Lafayette LA 70508-5425 Ph: (337) 356-5739 | Medical Specialist Of Acadiana, Llc 310 Youngsville Hwy Lafayette LA 70508-4524 Ph: (373) 356-5739 |
| NPI Number | 1114350469 |
|---|---|
| Provider Enumeration Date | 08/09/2013 |
| Last Update Date | 06/30/2021 |
| Medicare PECOS PAC ID | 3678708377 |
|---|---|
| Medicare Enrollment ID | O20131106000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114350469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD203023 (Louisiana) | Primary |
| Provider Name | Cesar Augusto Ramirez Astacio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336359033 PECOS PAC ID: 7012062011 Enrollment ID: I20090826000929 |
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