| Dr Juan C Bayolo, MD | |
|
309 W 1st St, Sanford, FL 32771-1205 | |
| (407) 324-5035 | |
| Not Available |
| Full Name | Dr Juan C Bayolo |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 309 W 1st St, Sanford, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801848478 | NPI | - | NPPES |
| HQ793Z | Other | MEDICARE ID | |
| 101229200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15486 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | 4301113879 (Michigan) | Secondary |
| 208D00000X | General Practice | ACN247 (Florida) | Primary |
| Entity Name | Laracuente Healthcare Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184397606 PECOS PAC ID: 2769888627 Enrollment ID: O20210901002521 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Juan C Bayolo, MD 3131 Egrets Landing Dr, Lake Mary, FL 32746-7419 Ph: (787) 587-6195 | Dr Juan C Bayolo, MD 309 W 1st St, Sanford, FL 32771-1205 Ph: (407) 324-5035 |
Dilcia Irlandia Hernandez Santana, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 2432 S French Ave, Sanford, FL 32771 Phone: 407-768-4464 Fax: 407-878-0114 | |
Jose Ariel Torres, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 2040 Courtyard Loop Apt 100, Sanford, FL 32771 Phone: 787-354-8187 | |
Candice M Rivera Mendez, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 2432 S French Ave, Sanford, FL 32771 Phone: 407-768-4464 Fax: 407-878-0114 | |
Dr. Haidy Carrasquillo Rodriguez, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1442 W 1st St, Sanford, FL 32771 Phone: 407-878-1734 Fax: 844-388-6186 |