| Esperanza Md Llc | |
|
13b Calle Baldorioty Yauco PR 00698-3654 | |
| (787) 673-7431 | |
| Not Available |
| Full Name | Esperanza Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13b Calle Baldorioty, Yauco, Puerto Rico |
| Authorized Official Name and Position | Wanda Almodovar (PRESIDENT) |
| Authorized Official Contact | 7876737431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Esperanza Md Llc Po Box 1351 Yauco PR 00698-1351 Ph: (787) 673-7431 | Esperanza Md Llc 13b Calle Baldorioty Yauco PR 00698-3654 Ph: (787) 673-7431 |
| NPI Number | 1902505084 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 02/28/2023 |
| Medicare PECOS PAC ID | 1153794276 |
|---|---|
| Medicare Enrollment ID | O20230310000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902505084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Wanda Almodovar Feliciano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093093635 PECOS PAC ID: 4981912714 Enrollment ID: I20150929000664 |
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