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GERIATRICA LLC NPI 1639759558


NPI Information

NPI: 1639759558
Provider Name: GERIATRICA, LLC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
254 MOSS SIDE DR
ATHENS, GA
ZIP 30607
Phone: (646) 515-2050
Get Directions

GERIATRICA, LLC is a geriatric medicine internal medicine in Athens, GA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. GERIATRICA, LLC NPI is 1639759558. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

254 MOSS SIDE DR
ATHENS, GA
ZIP 30607-109
Phone: (646) 515-2050

The provider's authorized official is Yolin A Bueno .
The authorized official title is Co-founder and has the following contact phone number (646) 515-2050.

The enumeration date for this NPI number is 4/13/2021 and was last updated on 4/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11194061150MEDICAIDNEW YORK
21447548102MEDICAIDCONNECTICUT
31528356359MEDICAIDCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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