| Inter-american Primary Care Llc | |
|
1013 Talbotton Rd Columbus GA 31904-8744 | |
| (762) 525-9636 | |
| Not Available |
| Full Name | Inter-american Primary Care Llc |
|---|---|
| Speciality | General Practice |
| Location | 1013 Talbotton Rd, Columbus, Georgia |
| Authorized Official Name and Position | Ricardo Banjamin Alvarez (GENERAL PRACTICE) |
| Authorized Official Contact | 7065077067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inter-american Primary Care Llc 1013 Talbotton Rd Columbus GA 31904-8744 Ph: (762) 525-9636 | Inter-american Primary Care Llc 1013 Talbotton Rd Columbus GA 31904-8744 Ph: (762) 525-9636 |
| NPI Number | 1487932687 |
|---|---|
| Provider Enumeration Date | 07/22/2011 |
| Last Update Date | 10/24/2022 |
| Medicare PECOS PAC ID | 9931371531 |
|---|---|
| Medicare Enrollment ID | O20111004000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487932687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ricardo Alvarez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417078031 PECOS PAC ID: 1759367436 Enrollment ID: I20080115000446 |
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