OrganizationMarco Antonio Lazaro MerazDentistDental ProvidersPractice AddressBlvd Sanchez Taboada9250 2b, Tijuana, Baja California 22010 (Mexico)(619) 272-9021PECOS EnrollmentBased on the most recent information from CMS, provider Marco Antonio Lazaro Meraz 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 ID1861238875Provider TypeOrganizationFull NameMarco Antonio Lazaro MerazSubpartNoEnumeration Date7/8/2024Last Updated7/8/2024Contact InformationPractice LocationPractice AddressBlvd Sanchez Taboada9250 2b, Tijuana, Baja California 22010 (Mexico)Phone(619) 272-9021FaxUnlisted FaxMailing LocationMailing Address4492 Camino De La Plz # 2292, San Ysidro, CA 92173-3071Phone(619) 272-9021FaxUnlisted FaxAuthorized OfficialNameLazaro Meraz, Marco Antonio (Provider)Phone(619) 272-9021Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer