| Iglesias Family Medicine Pa | |
|
9895 Alameda Ave Suite 118 Socorro TX 79927-2833 | |
| (915) 702-0030 | |
| Not Available |
| Full Name | Iglesias Family Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 9895 Alameda Ave, Socorro, Texas |
| Authorized Official Name and Position | Michelle Iglesias (PHYSICIAN OWNER) |
| Authorized Official Contact | 9157020030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iglesias Family Medicine Pa 1011 Montana Ave El Paso TX 79902-5411 Ph: (915) 702-0030 | Iglesias Family Medicine Pa 9895 Alameda Ave Suite 118 Socorro TX 79927-2833 Ph: (915) 702-0030 |
| NPI Number | 1790230738 |
|---|---|
| Provider Enumeration Date | 08/19/2016 |
| Last Update Date | 08/19/2016 |
| Medicare PECOS PAC ID | 0042599474 |
|---|---|
| Medicare Enrollment ID | O20161108000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790230738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Annette G Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639421084 PECOS PAC ID: 5799920930 Enrollment ID: I20130318000412 |
| Provider Name | Michelle Iglesias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386087492 PECOS PAC ID: 3577842913 Enrollment ID: I20161108000932 |
| Provider Name | Nidia Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831439736 PECOS PAC ID: 6103191291 Enrollment ID: I20170928002697 |
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