| Dy Medical Center Corp | |
|
731 E 9th St Hialeah FL 33010-4553 | |
| (305) 863-2067 | |
| (305) 803-2027 |
| Full Name | Dy Medical Center Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 731 E 9th St, Hialeah, Florida |
| Authorized Official Name and Position | Dyanet Gallo (PRESIDENT) |
| Authorized Official Contact | 3058632067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dy Medical Center Corp 731 E 9th St Hialeah FL 33010-4553 Ph: (305) 863-2067 | Dy Medical Center Corp 731 E 9th St Hialeah FL 33010-4553 Ph: (305) 863-2067 |
| NPI Number | 1801338009 |
|---|---|
| Provider Enumeration Date | 11/06/2016 |
| Last Update Date | 01/11/2021 |
| Certification Date | 01/11/2021 |
| Medicare PECOS PAC ID | 9133532765 |
|---|---|
| Medicare Enrollment ID | O20201228002568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801338009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Carlos A Almonte Gomez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972793354 PECOS PAC ID: 2769577758 Enrollment ID: I20130109000601 |
| Provider Name | Yannier Ferrer Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962909358 PECOS PAC ID: 1850772260 Enrollment ID: I20220718000115 |
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