| Principle Care Center Inc | |
|
4445 W 16th Ave Ste 602 Hialeah FL 33012-2960 | |
| (786) 334-5663 | |
| (786) 431-5578 |
| Full Name | Principle Care Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4445 W 16th Ave Ste 602, Hialeah, Florida |
| Authorized Official Name and Position | Mirta Plasencia (PRESIDENT) |
| Authorized Official Contact | 7863345663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Principle Care Center Inc 4445 W 16th Ave Ste 602 Hialeah FL 33012-2960 Ph: (786) 334-5663 | Principle Care Center Inc 4445 W 16th Ave Ste 602 Hialeah FL 33012-2960 Ph: (786) 334-5663 |
| NPI Number | 1740865062 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Medicare PECOS PAC ID | 0042697963 |
|---|---|
| Medicare Enrollment ID | O20220516001371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740865062 | NPI | - | NPPES |
| Provider Name | Jorge Betancourt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982707998 PECOS PAC ID: 7012177702 Enrollment ID: I20120404000985 |
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