| Alameda Medical Center Inc | |
|
7855 Nw 12th St Ste 117 Doral FL 33126-1818 | |
| (305) 603-9846 | |
| (305) 603-9847 |
| Full Name | Alameda Medical Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7855 Nw 12th St Ste 117, Doral, Florida |
| Authorized Official Name and Position | Orley Martinez (PRESIDENT) |
| Authorized Official Contact | 3056039846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alameda Medical Center Inc 7855 Nw 12th St Ste 117 Doral FL 33126-1818 Ph: (305) 603-9846 | Alameda Medical Center Inc 7855 Nw 12th St Ste 117 Doral FL 33126-1818 Ph: (305) 603-9846 |
| NPI Number | 1275116634 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 08/25/2021 |
| Certification Date | 08/25/2021 |
| Medicare PECOS PAC ID | 4688073869 |
|---|---|
| Medicare Enrollment ID | O20210519002520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275116634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Manuel Tojar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376509133 PECOS PAC ID: 5496731283 Enrollment ID: I20040624000501 |
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