| Banner Care Llc | |
|
129 N 11th St Philadelphia PA 19107-2347 | |
| (215) 613-6273 | |
| Not Available |
| Full Name | Banner Care Llc |
|---|---|
| Speciality | General Practice |
| Location | 129 N 11th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Ray A Abarintos (OWNER) |
| Authorized Official Contact | 2156136273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Care Llc 129 N 11th St Fl 1 Philadelphia PA 19107-2347 Ph: (215) 613-6273 | Banner Care Llc 129 N 11th St Philadelphia PA 19107-2347 Ph: (215) 613-6273 |
| NPI Number | 1558051961 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 09/22/2023 |
| Medicare PECOS PAC ID | 7719348457 |
|---|---|
| Medicare Enrollment ID | O20240821002128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558051961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ray Abarintos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417339516 PECOS PAC ID: 3173875648 Enrollment ID: I20200429001809 |
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