| Primary Care Everywhere, Llc | |
|
7600 Sw 62nd St Miami FL 33143-1714 | |
| (305) 216-2811 | |
| Not Available |
| Full Name | Primary Care Everywhere, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 7600 Sw 62nd St, Miami, Florida |
| Authorized Official Name and Position | Giovanni Mena (MBR) |
| Authorized Official Contact | 3052162811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Everywhere, Llc 10033 Sw 231st Ln Miami FL 33190-1993 Ph: (305) 216-2811 | Primary Care Everywhere, Llc 7600 Sw 62nd St Miami FL 33143-1714 Ph: (305) 216-2811 |
| NPI Number | 1659008324 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Medicare PECOS PAC ID | 6002283298 |
|---|---|
| Medicare Enrollment ID | O20221101000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659008324 | NPI | - | NPPES |
| Provider Name | Miguel De Jesus Perez Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003288291 PECOS PAC ID: 7719284223 Enrollment ID: I20160329001405 |
| Provider Name | Jany Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841735636 PECOS PAC ID: 0840554549 Enrollment ID: I20180504001053 |
| Provider Name | Alicia Garro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760966634 PECOS PAC ID: 7214351501 Enrollment ID: I20200720002291 |
| Provider Name | Heather Alexandra Preciado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295394708 PECOS PAC ID: 2062805583 Enrollment ID: I20220205000108 |
| Provider Name | Veronica Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548843964 PECOS PAC ID: 4486090446 Enrollment ID: I20240312004272 |
| Provider Name | Angela Mena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538914460 PECOS PAC ID: 0244670347 Enrollment ID: I20240506001426 |
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