| Ricardo A Abraham Mdpa | |
|
3125 W Alton Gloor Blvd Brownsville TX 78520-3506 | |
| (956) 544-5700 | |
| (956) 350-9573 |
| Full Name | Ricardo A Abraham Mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3125 W Alton Gloor Blvd, Brownsville, Texas |
| Authorized Official Name and Position | Ricardo Abdom Abraham (PRESIDENT) |
| Authorized Official Contact | 9565445700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo A Abraham Mdpa 5251 Ridgeline Dr Brownsville TX 78526-3814 Ph: (956) 544-5700 | Ricardo A Abraham Mdpa 3125 W Alton Gloor Blvd Brownsville TX 78520-3506 Ph: (956) 544-5700 |
| NPI Number | 1740417716 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 09/28/2011 |
| Medicare PECOS PAC ID | 6608927645 |
|---|---|
| Medicare Enrollment ID | O20090702000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740417716 | NPI | - | NPPES |
| M2892 | Other | TX | LICENCE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M2892 (Texas) | Primary |
| Provider Name | Ricardo A Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831182815 PECOS PAC ID: 5294811899 Enrollment ID: I20080324000364 |
| Provider Name | Juan Diego Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083140917 PECOS PAC ID: 2860814720 Enrollment ID: I20200623000202 |
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