| New Generation Medical Center Inc | |
|
326 Sw 12th Ave Ste A Miami FL 33130-2012 | |
| (305) 545-8913 | |
| (305) 642-7733 |
| Full Name | New Generation Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 326 Sw 12th Ave Ste A, Miami, Florida |
| Authorized Official Name and Position | Jose Luis Huerres (PRESIDENT) |
| Authorized Official Contact | 3055458913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Generation Medical Center Inc 326 Sw 12th Ave Ste A Miami FL 33130-2012 Ph: (305) 545-8913 | New Generation Medical Center Inc 326 Sw 12th Ave Ste A Miami FL 33130-2012 Ph: (305) 545-8913 |
| NPI Number | 1154348811 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 09/14/2023 |
| Certification Date | 09/14/2023 |
| Medicare PECOS PAC ID | 5092734475 |
|---|---|
| Medicare Enrollment ID | O20051115000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154348811 | NPI | - | NPPES |
| 109321800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Annie L Casta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194024695 PECOS PAC ID: 4587892898 Enrollment ID: I20140113001607 |
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