| Advtec Woundcare Inc | |
|
330 Rancheros Dr Ste 258 San Marcos CA 92069-2979 | |
| (949) 324-8363 | |
| Not Available |
| Full Name | Advtec Woundcare Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 330 Rancheros Dr Ste 258, San Marcos, California |
| Authorized Official Name and Position | Raquel Lacuesta (CEO) |
| Authorized Official Contact | 9493248363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advtec Woundcare Inc 330 Rancheros Dr Ste 258 San Marcos CA 92069-2979 | Advtec Woundcare Inc 330 Rancheros Dr Ste 258 San Marcos CA 92069-2979 Ph: (949) 324-8363 |
| NPI Number | 1538964572 |
|---|---|
| Provider Enumeration Date | 02/14/2025 |
| Last Update Date | 02/14/2025 |
| Certification Date | 02/14/2025 |
| Medicare PECOS PAC ID | 6608394275 |
|---|---|
| Medicare Enrollment ID | O20250826004003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538964572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Maria Samantha Layson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447916168 PECOS PAC ID: 3173996865 Enrollment ID: I20230228000905 |
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