MEDICARE: LARREA ROYALTY GROUP LLC

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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1437086345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LARREA ROYALTY GROUP LLC

Provider Business Mailing Address
First Line	:	2724 ODESSA DR
Second Line	:
City	:	CLOVER
State	:	SC
Zip	:	29710-3619
Country	:	US
Telephone Number	:	980-888-2610
Fax Number	:

Provider Business Practice Location Address
First Line	:	2724 ODESSA DR
Second Line	:
City	:	CLOVER
State	:	SC
Zip	:	29710-3619
Country	:	US
Telephone Number	:	980-888-2610
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	KARINA Y LARREA PINARGOTE
Credential	:
Telephone Number	:	704-771-4969

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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