| Dr Luis D Pacheco Garcia Llc | |
|
29 Calle Mattei Lluberas # C Yauco PR 00698-3673 | |
| (939) 289-6188 | |
| Not Available |
| Full Name | Dr Luis D Pacheco Garcia Llc |
|---|---|
| Speciality | General Practice |
| Location | 29 Calle Mattei Lluberas # C, Yauco, Puerto Rico |
| Authorized Official Name and Position | Luis Daniel Pacheco Garcia (PRESIDENTE) |
| Authorized Official Contact | 9392896188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luis D Pacheco Garcia Llc Urb La Quinta Calle Escada J13 Yauco PR 00698 Ph: () - | Dr Luis D Pacheco Garcia Llc 29 Calle Mattei Lluberas # C Yauco PR 00698-3673 Ph: (939) 289-6188 |
| NPI Number | 1154013274 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 07/09/2024 |
| Medicare PECOS PAC ID | 5799224598 |
|---|---|
| Medicare Enrollment ID | O20240823004033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154013274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Luis D Pacheco Garcia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568131506 PECOS PAC ID: 3779957428 Enrollment ID: I20230321000423 |
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