| Jairo D Libreros Md Pa | |
|
36338 Us Highway 19 N Palm Harbor FL 34684-1329 | |
| (813) 876-7246 | |
| Not Available |
| Full Name | Jairo D Libreros Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 36338 Us Highway 19 N, Palm Harbor, Florida |
| Authorized Official Name and Position | Luz Divina Libreros (BILLING COORDINATOR) |
| Authorized Official Contact | 8138767246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jairo D Libreros Md Pa Po Box 22807 Tampa FL 33622-2807 Ph: (813) 876-7246 | Jairo D Libreros Md Pa 36338 Us Highway 19 N Palm Harbor FL 34684-1329 Ph: (813) 876-7246 |
| NPI Number | 1811080880 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 04/13/2012 |
| Medicare PECOS PAC ID | 5698790681 |
|---|---|
| Medicare Enrollment ID | O20051010000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811080880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME63932 (Florida) | Primary |
| Provider Name | Jairo D Libreros |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518922285 PECOS PAC ID: 5890788699 Enrollment ID: I20040407000329 |
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