Jorge Manuel Gomez Vizcarra, | |
14900 W Dixie Hwy, North Miami, FL 33181-1018 | |
(305) 995-0539 | |
(305) 995-0538 |
Full Name | Jorge Manuel Gomez Vizcarra |
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Gender | Male |
Speciality | General Practice |
Location | 14900 W Dixie Hwy, North Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366911471 | NPI | - | NPPES |
111375300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 21111 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN1356 (Florida) | Primary |
Entity Name | Compassionate Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740200211 PECOS PAC ID: 5496788853 Enrollment ID: O20220901002672 |
Entity Name | Sunsouth Health Centers South Florida, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114585643 PECOS PAC ID: 2365888955 Enrollment ID: O20240305004496 |
Mailing Address | Practice Location Address |
---|---|
Jorge Manuel Gomez Vizcarra, 1214 Mariner Blvd, Spring Hill, FL 34609-5657 Ph: (352) 277-5305 | Jorge Manuel Gomez Vizcarra, 14900 W Dixie Hwy, North Miami, FL 33181-1018 Ph: (305) 995-0539 |
Dr. Deborah Yasmin Cova, MD General Practice Medicare: Medicare Enrolled Practice Location: 12955 Biscayne Blvd Ste 202, North Miami, FL 33181 Phone: 305-893-5546 Fax: 305-891-5354 | |
Marie Yolette Celoge, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 12615 W Dixie Hwy, North Miami, FL 33161 Phone: 305-534-0076 Fax: 305-693-8191 | |
Mrs. Beatriz Salcedo, General Practice Medicare: Not Enrolled in Medicare Practice Location: 640 Ne 124th St, North Miami, FL 33161 Phone: 305-519-0353 | |
Anthony Rocco Andreoni, MD General Practice Medicare: Medicare Enrolled Practice Location: 1065 Ne 125th St Ste 206, North Miami, FL 33161 Phone: 305-891-0050 Fax: 305-891-0497 | |
Mrs. Estela Nayor, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2025 Ixora Rd, North Miami, FL 33181 Phone: 786-422-6525 Fax: 786-422-6535 | |
Elizabeth C Medrano, MD General Practice Medicare: Medicare Enrolled Practice Location: 11645 Biscayne Blvd Ste 302-304, North Miami, FL 33181 Phone: 305-538-8835 Fax: 305-938-4044 | |
Dr. Jose Julian Villar, M.D General Practice Medicare: Medicare Enrolled Practice Location: 12996 W Dixie Hwy # 1809, North Miami, FL 33161 Phone: 305-592-5214 Fax: 786-373-7229 |