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NPI Code Detail

MEDICARE: LLAQUEZ BROTHERS INVESTMENTS LLC

MEDICARE: LLAQUEZ BROTHERS INVESTMENTS 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1699330167
Entity Type Code : Organization
Provider Name (Legal Business Name) : LLAQUEZ BROTHERS INVESTMENTS LLC
Provider Business Mailing Address
First Line : 1617 RAYADO CREEK LN
Second Line :
City : EL PASO
State : TX
Zip : 79911-3098
Country : US
Telephone Number : 512-906-9119
Fax Number :
Provider Business Practice Location Address
First Line : 1617 RAYADO CREEK LN
Second Line :
City : EL PASO
State : TX
Zip : 79911-3098
Country : US
Telephone Number : 512-906-9119
Fax Number :
Authorized Official
Title or Position : DO
Name : LEONARDO PACHELLI LLAMAS
Credential :
Telephone Number : 512-906-9119
Provider Enumeration Date : 05/09/2019
Last Update Date : 05/20/2019

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Directions to “LLAQUEZ BROTHERS INVESTMENTS LLC ” Practice Location

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