| Clinica Hf Jupiter Llc | |
|
3516 W Walnut St Garland TX 75042-6234 | |
| (469) 304-0074 | |
| Not Available |
| Full Name | Clinica Hf Jupiter Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3516 W Walnut St, Garland, Texas |
| Authorized Official Name and Position | Marsel Yousef (OWNER) |
| Authorized Official Contact | 3462130377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Hf Jupiter Llc 3516 W Walnut St Garland TX 75042-6234 Ph: (469) 304-0074 | Clinica Hf Jupiter Llc 3516 W Walnut St Garland TX 75042-6234 Ph: (469) 304-0074 |
| NPI Number | 1164280244 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 10/15/2024 |
| Medicare PECOS PAC ID | 4486187184 |
|---|---|
| Medicare Enrollment ID | O20241104000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164280244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rose Santiago Benny |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043349756 PECOS PAC ID: 9335672450 Enrollment ID: I20241029000925 |
| Provider Name | Daimel Perez Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932974813 PECOS PAC ID: 4880127497 Enrollment ID: I20241104001341 |
| Provider Name | Pedro P San Martin Parra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205414604 PECOS PAC ID: 4284171505 Enrollment ID: I20250108002843 |
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