| Hope Medical Center Llc | |
|
6500 W 4th Ave Ste 9 Hialeah FL 33012-6606 | |
| (786) 366-3324 | |
| Not Available |
| Full Name | Hope Medical Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6500 W 4th Ave Ste 9, Hialeah, Florida |
| Authorized Official Name and Position | Luis E Brossard Gonzalez (PRESIDENT) |
| Authorized Official Contact | 7863663324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Medical Center Llc 6500 W 4th Ave Ste 9 Hialeah FL 33012-6606 Ph: (786) 366-3324 | Hope Medical Center Llc 6500 W 4th Ave Ste 9 Hialeah FL 33012-6606 Ph: (786) 366-3324 |
| NPI Number | 1356981963 |
|---|---|
| Provider Enumeration Date | 01/11/2020 |
| Last Update Date | 01/11/2020 |
| Certification Date | 01/11/2020 |
| Medicare PECOS PAC ID | 0042637753 |
|---|---|
| Medicare Enrollment ID | O20200826002425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356981963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Gabriel Betancourt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497001663 PECOS PAC ID: 4183849672 Enrollment ID: I20140625000579 |
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