Provider Demographics
NPI:1336963321
Name:ELEQTRO SPOT LLC
Entity type:Organization
Organization Name:ELEQTRO SPOT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARELY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:AGUAYO RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED ELECTROLOGI
Authorized Official - Phone:916-241-3676
Mailing Address - Street 1:3823 V ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-3145
Mailing Address - Country:US
Mailing Address - Phone:916-241-3676
Mailing Address - Fax:916-244-4804
Practice Address - Street 1:3823 V ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-3145
Practice Address - Country:US
Practice Address - Phone:916-241-3676
Practice Address - Fax:916-244-4804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-14
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374700000XNursing Service Related ProvidersTechnicianGroup - Single Specialty