OrganizationMoises Irazoqui MDentistDental ProvidersPractice AddressDr Atl 2031-103 Edificio Mapfre, Zona Rio, Tijuana, Baja California 22010 (Mexico)(664) 210-7218(619) 349-6409PECOS EnrollmentBased on the most recent information from CMS, provider Moises Irazoqui M does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1679307235Provider TypeOrganizationFull NameMoises Irazoqui MSubpartNoEnumeration Date8/27/2024Last Updated8/27/2024Contact InformationPractice LocationPractice AddressDr Atl 2031-103 Edificio Mapfre, Zona Rio, Tijuana, Baja California 22010 (Mexico)Phone(664) 210-7218Fax(619) 354-2449Mailing LocationMailing Address210 H St Apt L12, Chula Vista, CA 91910Phone(619) 349-6409Fax(619) 354-2449Authorized OfficialNameIrazoqui M, Moises (Owner)Phone(664) 210-7218Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer