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NPI Code Detail

MEDICARE: MARCOS BORRERO MD. INC.

MEDICARE: MARCOS BORRERO MD. INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA42177CA
2207Q00000XFamily Medicine PhysicianA34221CA
3363A00000XPhysician AssistantPA13315CA
4208D00000XGeneral Practice PhysicianA38907CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073704524
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARCOS BORRERO MD. INC.
Provider Business Mailing Address
First Line : 3490 PALM AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-1664
Country : US
Telephone Number : 619-423-5616
Fax Number : 619-423-5684
Provider Business Practice Location Address
First Line : 3490 PALM AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-1664
Country : US
Telephone Number : 619-423-5616
Fax Number : 619-423-5684
Authorized Official
Title or Position : PRESIDENT
Name : MARCOS BORRERO
Credential : M.D.
Telephone Number : 619-423-5616
Provider Enumeration Date : 08/08/2007
Last Update Date : 08/08/2007

Similar Medicare Providers

1952312621 — MARCOS BORRERO M.D.
Practice Location Address:
3490 PALM AVE
SAN DIEGO, CA
92154-1664
Practice Phone: 619-423-5616
Practice Fax: 619-423-5684
1790898369 — ANSELMO ROLDAN M.D.
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1396853065 — RICARDO BRAVO PA
Practice Location Address:
3490 PALM AVE
SAN DIEGO, CA
92154-1664
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1215066881 — KAMBIZ HAMRANG M.D.
Practice Location Address:
3490 PALM AVE
SAN DIEGO, CA
92154-1664
Practice Phone: 858-429-1800
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1134258148 — MS. ILDIKO CHRISTINE GERBATSCH-BORNEMISZA MD
Practice Location Address:
3490 PALM AVE
SAN DIEGO, CA
92154-1664
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1700915808 — JOSE L. LOPEZ, DDS, INC
Practice Location Address:
3490 PALM AVE
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Practice Fax:

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