| Office Of Leopoldo Arcilla , Jr.,md.,pc | |
|
1757 Army Dr Ste 108 Tamuning GU 96913-1260 | |
| (671) 647-4533 | |
| (671) 647-1110 |
| Full Name | Office Of Leopoldo Arcilla , Jr.,md.,pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1757 Army Dr Ste 108, Tamuning, Guam |
| Authorized Official Name and Position | Leopoldo Clava Arcilla (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 6714836766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Office Of Leopoldo Arcilla , Jr.,md.,pc 1757 Army Dr Ste 108 Tamuning GU 96913-1260 Ph: (671) 647-4533 | Office Of Leopoldo Arcilla , Jr.,md.,pc 1757 Army Dr Ste 108 Tamuning GU 96913-1260 Ph: (671) 647-4533 |
| NPI Number | 1487031613 |
|---|---|
| Provider Enumeration Date | 04/27/2015 |
| Last Update Date | 04/27/2015 |
| Medicare PECOS PAC ID | 0244551760 |
|---|---|
| Medicare Enrollment ID | O20150609000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487031613 | NPI | - | NPPES |
| 1021 | Medicaid | GU |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M-1565 (Guam) | Primary |
| Provider Name | Leopoldo Clava Arcilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144364753 PECOS PAC ID: 6406800119 Enrollment ID: I20150609000511 |
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