Primary Care And Educational Center Of Miami | |
13205 Sw 137th Ave Ste 232-233 Miami FL 33186-5331 | |
(786) 290-9192 | |
(800) 603-8893 |
Full Name | Primary Care And Educational Center Of Miami |
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Speciality | Clinic/Center |
Location | 13205 Sw 137th Ave Ste 232-233, Miami, Florida |
Authorized Official Name and Position | Eddy Marcial (PRESIDENT) |
Authorized Official Contact | 7862909192 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care And Educational Center Of Miami 13205 Sw 137th Ave # 224-225 Miami FL 33186-5331 Ph: (786) 290-9192 | Primary Care And Educational Center Of Miami 13205 Sw 137th Ave Ste 232-233 Miami FL 33186-5331 Ph: (786) 290-9192 |
NPI Number | 1174995609 |
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Provider Enumeration Date | 10/23/2015 |
Last Update Date | 04/30/2024 |
Certification Date | 04/30/2024 |
Medicare PECOS PAC ID | 5799069456 |
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Medicare Enrollment ID | O20170225000201 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174995609 | NPI | - | NPPES |
1841694221 | Other | FL | NPI (PERSONAL) |
016803600 | Medicaid | FL | |
1174995609 | Other | FL | NPI |
Provider Name | Marta R Fernandez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780666750 PECOS PAC ID: 3779579578 Enrollment ID: I20040426000068 |
Provider Name | Eddy Marcial |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841694221 PECOS PAC ID: 6103928767 Enrollment ID: I20150319001566 |
Provider Name | Mohsin Zafar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689164105 PECOS PAC ID: 3476806076 Enrollment ID: I20210621001150 |
Provider Name | Anouk Herrera |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659737559 PECOS PAC ID: 8123417128 Enrollment ID: I20211112001314 |
Provider Name | Glendys Cortes Vazquez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538629456 PECOS PAC ID: 5496990525 Enrollment ID: I20220226000106 |
Provider Name | Janny Mesa |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1902469323 PECOS PAC ID: 1456745538 Enrollment ID: I20220307001795 |
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