A & R Medical Center Corp | |
13590 Sw 134th Ave Ste 210 Miami FL 33186-4576 | |
(239) 732-4299 | |
(786) 732-4296 |
Full Name | A & R Medical Center Corp |
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Speciality | Community/Behavioral Health |
Location | 13590 Sw 134th Ave Ste 210, Miami, Florida |
Authorized Official Name and Position | Blasa A Moya (PRESIDENT) |
Authorized Official Contact | 7867171535 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A & R Medical Center Corp 13590 Sw 134th Ave Ste 210 Miami FL 33186-4576 Ph: (786) 732-4299 | A & R Medical Center Corp 13590 Sw 134th Ave Ste 210 Miami FL 33186-4576 Ph: (239) 732-4299 |
NPI Number | 1811572126 |
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Provider Enumeration Date | 03/17/2021 |
Last Update Date | 03/18/2024 |
Certification Date | 03/18/2024 |
Medicare PECOS PAC ID | 5799166740 |
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Medicare Enrollment ID | O20220721002497 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811572126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Ricardo E Presas |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770505224 PECOS PAC ID: 4284618208 Enrollment ID: I20040619000023 |
Provider Name | Keiliss Echemendia Hernandez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902303134 PECOS PAC ID: 1759779408 Enrollment ID: I20211028002612 |
Provider Name | Kelechi O Acholonu |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1144849696 PECOS PAC ID: 8426473661 Enrollment ID: I20240506003512 |
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