| Lmdc Primary Medicine LLC | |
|
175 Calle San Felipe Arecibo PR 00612-4605 | |
| (787) 879-3995 | |
| Not Available |
| Full Name | Lmdc Primary Medicine LLC |
|---|---|
| Speciality | General Practice |
| Location | 175 Calle San Felipe, Arecibo, Puerto Rico |
| Authorized Official Name and Position | Lorena Michelle Diaz Colon (PRIMARY CARE PHYSICIAN) |
| Authorized Official Contact | 7878793995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lmdc Primary Medicine LLC Po Box 560 Hatillo PR 00659-0560 | Lmdc Primary Medicine LLC 175 Calle San Felipe Arecibo PR 00612-4605 Ph: (787) 879-3995 |
| NPI Number | 1275266389 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 06/15/2024 |
| Certification Date | 06/15/2024 |
| Medicare PECOS PAC ID | 0749663920 |
|---|---|
| Medicare Enrollment ID | O20220822000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275266389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Lorena Michelle Diaz Colon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265059893 PECOS PAC ID: 1951784123 Enrollment ID: I20220822000537 |
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