| La Medica, Llc | |
|
Ave. Pontezuela L583 Carolina PR 00983 | |
| (939) 845-7224 | |
| Not Available |
| Full Name | La Medica, Llc |
|---|---|
| Speciality | General Practice |
| Location | Ave. Pontezuela L583, Carolina, Puerto Rico |
| Authorized Official Name and Position | Monica Molina-serrano (OWNER/ADMINISTRATOR) |
| Authorized Official Contact | 7874626948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Medica, Llc Po Box 8773 Carolina PR 00988-8773 Ph: (939) 845-7224 | La Medica, Llc Ave. Pontezuela L583 Carolina PR 00983 Ph: (939) 845-7224 |
| NPI Number | 1194465716 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 03/31/2022 |
| Medicare PECOS PAC ID | 4789061425 |
|---|---|
| Medicare Enrollment ID | O20220518000733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194465716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 133N00000X | Nutritionist | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Monica Molina-serrano |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861010191 PECOS PAC ID: 1153746631 Enrollment ID: I20200806000505 |
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