| Universal Complete Care Pc | |
|
1945 Roanoke Blvd Salem VA 24153-6408 | |
| (540) 769-3964 | |
| (540) 318-2500 |
| Full Name | Universal Complete Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1945 Roanoke Blvd, Salem, Virginia |
| Authorized Official Name and Position | Alfonso Brochero (PRESDIENT) |
| Authorized Official Contact | 5407693964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Complete Care Pc Po Box 8310 Roanoke VA 24014-0310 Ph: (540) 345-3556 | Universal Complete Care Pc 1945 Roanoke Blvd Salem VA 24153-6408 Ph: (540) 769-3964 |
| NPI Number | 1992439889 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 10/11/2022 |
| Medicare PECOS PAC ID | 1254716129 |
|---|---|
| Medicare Enrollment ID | O20220913001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992439889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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