| Rodolfo Estremera Marcial Llc | |
|
1801 Santurce Medical Mall Suite 409-410 San Juan PR 00919 | |
| (939) 338-0793 | |
| Not Available |
| Full Name | Rodolfo Estremera Marcial Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1801 Santurce Medical Mall, San Juan, Puerto Rico |
| Authorized Official Name and Position | Rodolfo Estremera Marcial (PRESIDENT) |
| Authorized Official Contact | 9393380793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodolfo Estremera Marcial Llc Panorama K-5 Terrazas De Carraizo Trujillo Alto PR 00976-0000 Ph: (787) 233-3131 | Rodolfo Estremera Marcial Llc 1801 Santurce Medical Mall Suite 409-410 San Juan PR 00919 Ph: (939) 338-0793 |
| NPI Number | 1518671619 |
|---|---|
| Provider Enumeration Date | 01/12/2023 |
| Last Update Date | 02/24/2023 |
| Medicare PECOS PAC ID | 2264877950 |
|---|---|
| Medicare Enrollment ID | O20240305000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518671619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Rodolfo Estremera Marcial |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588922520 PECOS PAC ID: 7113340647 Enrollment ID: I20200630003413 |
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