| Angels Diagnostic Group,inc | |
|
7500 Nw 25th St Ste 114 Miami FL 33122-1721 | |
| (305) 593-8355 | |
| (305) 593-8369 |
| Full Name | Angels Diagnostic Group,inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7500 Nw 25th St Ste 114, Miami, Florida |
| Authorized Official Name and Position | Alejandro Santos (OWNER) |
| Authorized Official Contact | 3055938355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angels Diagnostic Group,inc 7500 Nw 25th St Ste 114 Miami FL 33122-1721 Ph: (305) 593-8355 | Angels Diagnostic Group,inc 7500 Nw 25th St Ste 114 Miami FL 33122-1721 Ph: (305) 593-8355 |
| NPI Number | 1700108412 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Medicare PECOS PAC ID | 9335381631 |
|---|---|
| Medicare Enrollment ID | O20130816000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700108412 | NPI | - | NPPES |
| 106242700 | Medicaid | FL | |
| HCC1215 | Other | FL | HEALTH CARE CLINIC STANDARD |
| Provider Name | Raul Andres Perez Falero |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295421428 PECOS PAC ID: 6507221009 Enrollment ID: I20230506000066 |
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