| Erc Life LLC | |
|
151 Crimson Ave Taneytown MD 21787-2197 | |
| (725) 502-1061 | |
| Not Available |
| Full Name | Erc Life LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 151 Crimson Ave, Taneytown, Maryland |
| Authorized Official Name and Position | Raphael Cuyugan (OWNER) |
| Authorized Official Contact | 4435259196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erc Life LLC 151 Crimson Ave Taneytown MD 21787-2197 Ph: (443) 525-9196 | Erc Life LLC 151 Crimson Ave Taneytown MD 21787-2197 Ph: (725) 502-1061 |
| NPI Number | 1548141195 |
|---|---|
| Provider Enumeration Date | 09/10/2025 |
| Last Update Date | 09/10/2025 |
| Certification Date | 09/10/2025 |
| Medicare PECOS PAC ID | 7911498662 |
|---|---|
| Medicare Enrollment ID | O20251111002163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548141195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Raphael Toledo Cuyugan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063393551 PECOS PAC ID: 9739670480 Enrollment ID: I20251111002214 |
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