| Lmo Perioimplants LLC | |
|
43 Calle Baldorioty Coamo PR 00769-3120 | |
| (787) 634-4237 | |
| Not Available |
| Full Name | Lmo Perioimplants LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 43 Calle Baldorioty, Coamo, Puerto Rico |
| Authorized Official Name and Position | Luis Martinez Ortiz (PRESIDENT) |
| Authorized Official Contact | 7876344237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lmo Perioimplants LLC Hc 4 Box 6092 Coamo PR 00769-9663 Ph: (787) 634-4237 | Lmo Perioimplants LLC 43 Calle Baldorioty Coamo PR 00769-3120 Ph: (787) 634-4237 |
| NPI Number | 1093692881 |
|---|---|
| Provider Enumeration Date | 08/21/2025 |
| Last Update Date | 08/21/2025 |
| Certification Date | 08/21/2025 |
| Medicare PECOS PAC ID | 1850879131 |
|---|---|
| Medicare Enrollment ID | O20260128003359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093692881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
| Provider Name | Luis Angel Martinez Ortiz |
|---|---|
| Provider Type | Practitioner - Periodontics |
| Provider Identifiers | NPI Number: 1174193494 PECOS PAC ID: 2769960046 Enrollment ID: I20260128003656 |
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Rdo Digitec LLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Calle Baldorioty Ste 3, Coamo, PR 00769 Phone: 787-825-0222 Fax: 787-471-7358 |