| Advance Community Services Corp | |
|
18901 Sw 106th Ave Suite # 229 Miami FL 33157 | |
| (305) 224-9376 | |
| (786) 581-5534 |
| Full Name | Advance Community Services Corp |
|---|---|
| Speciality | Case Management |
| Location | 18901 Sw 106th Ave, Miami, Florida |
| Authorized Official Name and Position | Nariel Pena Pacheco (PRESIDENT) |
| Authorized Official Contact | 3052249376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Community Services Corp 18901 Sw 106th Ave Suite # 229 Miami FL 33157 Ph: (305) 224-9376 | Advance Community Services Corp 18901 Sw 106th Ave Suite # 229 Miami FL 33157 Ph: (305) 224-9376 |
| NPI Number | 1760927123 |
|---|---|
| Provider Enumeration Date | 12/21/2016 |
| Last Update Date | 07/06/2021 |
| Certification Date | 07/06/2021 |
| Medicare PECOS PAC ID | 5991115206 |
|---|---|
| Medicare Enrollment ID | O20201027002391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760927123 | NPI | - | NPPES |
| Provider Name | Arsenio Columbie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306824966 PECOS PAC ID: 2961427026 Enrollment ID: I20051008000000 |
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