Provider Demographics
NPI:1699330167
Name:LLAQUEZ BROTHERS INVESTMENTS LLC
Entity type:Organization
Organization Name:LLAQUEZ BROTHERS INVESTMENTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DO
Authorized Official - Prefix:
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:PACHELLI
Authorized Official - Last Name:LLAMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-906-9119
Mailing Address - Street 1:1617 RAYADO CREEK LN
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-3098
Mailing Address - Country:US
Mailing Address - Phone:512-906-9119
Mailing Address - Fax:
Practice Address - Street 1:1617 RAYADO CREEK LN
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-3098
Practice Address - Country:US
Practice Address - Phone:512-906-9119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health