| Eric J Sambolin Morales LLC | |
|
#8 C. Luz Celenia Tirado San German PR 00683 | |
| (985) 860-2673 | |
| Not Available |
| Full Name | Eric J Sambolin Morales LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | #8 C. Luz Celenia Tirado, San German, Puerto Rico |
| Authorized Official Name and Position | Eric J Sambolin Morales (MEMBER) |
| Authorized Official Contact | 9858602673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric J Sambolin Morales LLC Po Box 2114 San German PR 00683-2114 Ph: (985) 860-2673 | Eric J Sambolin Morales LLC #8 C. Luz Celenia Tirado San German PR 00683 Ph: (985) 860-2673 |
| NPI Number | 1154057248 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Medicare PECOS PAC ID | 6406222082 |
|---|---|
| Medicare Enrollment ID | O20221024000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154057248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Eric Javier Sambolin Morales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437712924 PECOS PAC ID: 2567794878 Enrollment ID: I20221024000356 |
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