| Excellence Medical Group Corp | |
|
7959 Nw 2nd St Miami FL 33126-8000 | |
| (305) 267-6060 | |
| (305) 267-6055 |
| Full Name | Excellence Medical Group Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7959 Nw 2nd St, Miami, Florida |
| Authorized Official Name and Position | Barbara Suarez (OWNER) |
| Authorized Official Contact | 3052676060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellence Medical Group Corp 7959 Nw 2nd St Miami FL 33126-8000 Ph: (305) 267-6060 | Excellence Medical Group Corp 7959 Nw 2nd St Miami FL 33126-8000 Ph: (305) 267-6060 |
| NPI Number | 1497049423 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 09/08/2022 |
| Certification Date | 09/08/2022 |
| Medicare PECOS PAC ID | 2466623459 |
|---|---|
| Medicare Enrollment ID | O20110923000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497049423 | NPI | - | NPPES |
| FILE 9666 | Other | FL | AHCA HCC UNIT |
| Provider Name | Arles Perdomo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033218821 PECOS PAC ID: 8325945793 Enrollment ID: I20031215000394 |
| Provider Name | Robertson Baptista |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295835502 PECOS PAC ID: 4688699671 Enrollment ID: I20051010000115 |
| Provider Name | Annie L Casta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194024695 PECOS PAC ID: 4587892898 Enrollment ID: I20140113001607 |
| Provider Name | Ana M Garcia Iguaran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134415193 PECOS PAC ID: 7719114693 Enrollment ID: I20151005001862 |
| Provider Name | Brandon Keith Baker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528450665 PECOS PAC ID: 8729313564 Enrollment ID: I20190716001291 |
| Provider Name | Yoel Santana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134682958 PECOS PAC ID: 7012243736 Enrollment ID: I20190801001793 |
| Provider Name | Azucena Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841662392 PECOS PAC ID: 1254480064 Enrollment ID: I20191203000566 |
| Provider Name | Rafael Ramon Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073197794 PECOS PAC ID: 4486054871 Enrollment ID: I20210607000456 |
| Provider Name | Nosleidy Ramirez-barzaga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720646359 PECOS PAC ID: 6709263684 Enrollment ID: I20230920001340 |
| Provider Name | Silvia L Trana-felipes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366588402 PECOS PAC ID: 6204285430 Enrollment ID: I20231213000314 |
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