| Dr Jose Miguel Lares-guia, MD | |
|
111 Wadsworth Ave, New York, NY 10033-6102 | |
| (646) 682-7544 | |
| (646) 666-0339 |
| Full Name | Dr Jose Miguel Lares-guia |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 28 Years |
| Location | 111 Wadsworth Ave, New York, New York |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902030869 | NPI | - | NPPES |
| 03161662 | Medicaid | NY | |
| 03161662-03 | Other | NY | ADAP |
| 249492 | Other | NY | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 249492 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ace Medical Care Pc | 6608181979 | 2 |
| Entity Name | Jose Lares-guia Physician Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760816367 PECOS PAC ID: 8628203288 Enrollment ID: O20131107000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jose Miguel Lares-guia, MD 111 Wadsworth Ave, New York, NY 10033-6102 Ph: (646) 682-7544 | Dr Jose Miguel Lares-guia, MD 111 Wadsworth Ave, New York, NY 10033-6102 Ph: (646) 682-7544 |
Sohrab Virk, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 541 E 71st St, New York, NY 10021 Phone: 212-606-1712 Fax: 646-797-8977 | |
Dr. Andrew Murray Eisenthal, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 2216 Frederick Douglass Blvd, Apt 5b, New York, NY 10026 Phone: 201-923-8161 | |
Dr. Yan Shin Tan, General Practice Medicare: Accepting Medicare Assignments Practice Location: 183 Mulberry St, New York, NY 10012 Phone: 212-941-8530 | |
Haitham Siag, MBBCH General Practice Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-7300 | |
Martha S Grayson, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 170 W 12th St, Medicine/ General, New York, NY 10011 Phone: 212-356-4474 Fax: 212-356-4608 | |
Dr. Jason Chiu, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 347 E 53rd St Ste La, New York, NY 10022 Phone: 646-925-9743 | |
Dr. John Koski, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 404 E 76th St, #30b, New York, NY 10021 Phone: 917-432-2755 |