| Miami Stroke, Llc | |
|
11750 Sw 40th St Miami FL 33175-3530 | |
| (305) 235-9550 | |
| Not Available |
| Full Name | Miami Stroke, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11750 Sw 40th St, Miami, Florida |
| Authorized Official Name and Position | Jennifer Colen (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3052359550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Stroke, Llc 13550 Sw 120th St Ste 502 Miami FL 33186-7505 Ph: (305) 235-9550 | Miami Stroke, Llc 11750 Sw 40th St Miami FL 33175-3530 Ph: (305) 235-9550 |
| NPI Number | 1215475025 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 5698048213 |
|---|---|
| Medicare Enrollment ID | O20170901002696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215475025 | NPI | - | NPPES |
| 23588R | Other | FL | P-TAN |
| 374074900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084V0102X | Psychiatry & Neurology - Vascular Neurology | (* (Not Available)) | Primary |
| Provider Name | Alejandro Forteza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235159344 PECOS PAC ID: 4486792256 Enrollment ID: I20091116000388 |
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