| Isaac Community Services | |
|
18710 Sw 107th Ave Unit 17b Cutler Bay FL 33157-6774 | |
| (786) 235-2711 | |
| (786) 235-2658 |
| Full Name | Isaac Community Services |
|---|---|
| Speciality | General Practice |
| Location | 18710 Sw 107th Ave Unit 17b, Cutler Bay, Florida |
| Authorized Official Name and Position | Priscilla Ruiz (PRESIDENT) |
| Authorized Official Contact | 7862352711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Isaac Community Services 18710 Sw 107th Ave Unit 17b Cutler Bay FL 33157-6774 Ph: (786) 235-2711 | Isaac Community Services 18710 Sw 107th Ave Unit 17b Cutler Bay FL 33157-6774 Ph: (786) 235-2711 |
| NPI Number | 1891421145 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 5294180303 |
|---|---|
| Medicare Enrollment ID | O20231010001843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891421145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jesus Serret Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508306788 PECOS PAC ID: 6507231156 Enrollment ID: I20230412001966 |
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