| Ase MD LLC | |
|
Ext Villamar 1025 Marginal Villamar Carolina PR 00979-0097 | |
| (787) 726-3901 | |
| Not Available |
| Full Name | Ase MD LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | Ext Villamar, Carolina, Puerto Rico |
| Authorized Official Name and Position | Adriana Sofia Emmanuelli (OWNER) |
| Authorized Official Contact | 7872382959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ase MD LLC 902 Ave Ponce De Leon Apt 705 San Juan PR 00907-3351 Ph: (787) 238-2959 | Ase MD LLC Ext Villamar 1025 Marginal Villamar Carolina PR 00979-0097 Ph: (787) 726-3901 |
| NPI Number | 1639748767 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 06/23/2021 |
| Certification Date | 06/23/2021 |
| Medicare PECOS PAC ID | 4789085457 |
|---|---|
| Medicare Enrollment ID | O20210701002350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639748767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Adriana Sofia Emmanuelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730541327 PECOS PAC ID: 5698176360 Enrollment ID: I20210701002390 |
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