Laroya, Prudencio Estolero
Laroya, Prudencio Estolero is an sole proprietor health care provider with primary practice located at 1801 S 23Rd St Suite 3, Fort Pierce FL 34950-4830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Laroya, Prudencio Estolero can be contacted via phone (772) 466-2045.Contact Information
Primary practice address
1801 S 23Rd St Suite 3
Fort Pierce FL 34950-4830
Phone: (772) 466-2045
Fax: (772) 466-8646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME44748 | Florida |
Profile Details
| NPI number | 1164408142 |
|---|---|
| LBN Legal business name | Laroya, Prudencio Estolero |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Jan 14th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164408142 | NPPES |
| Florida | MEDICAID | 003471100 | |
| Florida | MEDICAID | 069288300 |
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