| Iq Medical Center Inc | |
|
7811 Coral Way Ste 103 Miami FL 33155-6540 | |
| (305) 484-8371 | |
| Not Available |
| Full Name | Iq Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7811 Coral Way Ste 103, Miami, Florida |
| Authorized Official Name and Position | Rafael Ferrer (PRESIDENT) |
| Authorized Official Contact | 7864260693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iq Medical Center Inc 11055 Sw 186th St Ste 206 Cutler Bay FL 33157-6842 Ph: (305) 484-8371 | Iq Medical Center Inc 7811 Coral Way Ste 103 Miami FL 33155-6540 Ph: (305) 484-8371 |
| NPI Number | 1124639158 |
|---|---|
| Provider Enumeration Date | 08/13/2020 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Medicare PECOS PAC ID | 0042627572 |
|---|---|
| Medicare Enrollment ID | O20210330002256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124639158 | NPI | - | NPPES |
| HCC12341 | Other | FL | AHCA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jesus Ramon Rodriguez De La Torre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861489726 PECOS PAC ID: 4385826361 Enrollment ID: I20110311000660 |
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