Individual ProviderRoberta Santos AzevedoInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1515 Holcombe Blvd, Houston, TX 77030(713) 745-5076(617) 602-2736PECOS EnrollmentBased on the most recent information from CMS, provider Roberta Santos Azevedo 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 2 days ago.Profile DetailsProvider ID1386483949Provider TypeIndividualFull NameSantos Azevedo, RobertaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date5/23/2024Last Updated5/23/2024Contact InformationPractice LocationPractice Address1515 Holcombe Blvd, Houston, TX 77030Phone(713) 745-5076FaxUnlisted FaxMailing LocationMailing Address218 Jamaicaway Apt 12, Boston, MA 02130Phone(617) 602-2736FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RH0003XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseBP10087614Texas