Provider Demographics
NPI:1700627379
Name:PRECISIONCARE SOLUTIONS LLC
Entity type:Organization
Organization Name:PRECISIONCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROMEO
Authorized Official - Middle Name:REYES
Authorized Official - Last Name:LADERO
Authorized Official - Suffix:JR
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:951-721-2768
Mailing Address - Street 1:38340 INNOVATION CT D-404
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563
Mailing Address - Country:US
Mailing Address - Phone:951-721-2768
Mailing Address - Fax:
Practice Address - Street 1:38340 INNOVATION CT D-404
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563
Practice Address - Country:US
Practice Address - Phone:951-721-2768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty