| M & A Medical Center Inc | |
|
4800 W Flagler St Ste 215-216 Miami FL 33134-1446 | |
| (786) 556-9121 | |
| Not Available |
| Full Name | M & A Medical Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4800 W Flagler St Ste 215-216, Miami, Florida |
| Authorized Official Name and Position | Matvey Miranda (PRESIDENT) |
| Authorized Official Contact | 7865569121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M & A Medical Center Inc 4800 W Flagler St Ste 215-216 Miami FL 33134-1446 Ph: (786) 556-9121 | M & A Medical Center Inc 4800 W Flagler St Ste 215-216 Miami FL 33134-1446 Ph: (786) 556-9121 |
| NPI Number | 1578120010 |
|---|---|
| Provider Enumeration Date | 05/21/2019 |
| Last Update Date | 05/21/2019 |
| Medicare PECOS PAC ID | 3476973124 |
|---|---|
| Medicare Enrollment ID | O20201019000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578120010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Marianela De La Portilla |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104875178 PECOS PAC ID: 4981517380 Enrollment ID: I20031111000679 |
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