| Endocrinology Specialty, Llc | |
|
1452 Ave Ashford Suite 3 San Juan PR 00907-1581 | |
| (787) 268-2808 | |
| Not Available |
| Full Name | Endocrinology Specialty, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1452 Ave Ashford, San Juan, Puerto Rico |
| Authorized Official Name and Position | Elisabeth Soto (PRESIDENT) |
| Authorized Official Contact | 7872682808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology Specialty, Llc Po Box 19777 San Juan PR 00910-1777 Ph: (787) 268-2808 | Endocrinology Specialty, Llc 1452 Ave Ashford Suite 3 San Juan PR 00907-1581 Ph: (787) 268-2808 |
| NPI Number | 1114388436 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 03/14/2016 |
| Medicare PECOS PAC ID | 5193006377 |
|---|---|
| Medicare Enrollment ID | O20161230000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114388436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Elizabeth M Soto |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992881031 PECOS PAC ID: 3375636863 Enrollment ID: I20070829000320 |
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