| Santa Ana Medical Care Center Inc | |
|
3750 W 16th Ave Ste 104 Hialeah FL 33012-4645 | |
| (786) 832-4346 | |
| (786) 408-8869 |
| Full Name | Santa Ana Medical Care Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3750 W 16th Ave Ste 104, Hialeah, Florida |
| Authorized Official Name and Position | Deyvis S Fernandez (PRESIDENT) |
| Authorized Official Contact | 7868324346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Ana Medical Care Center Inc 3750 W 16th Ave Ste 104 Hialeah FL 33012-4645 Ph: (786) 832-4346 | Santa Ana Medical Care Center Inc 3750 W 16th Ave Ste 104 Hialeah FL 33012-4645 Ph: (786) 832-4346 |
| NPI Number | 1386314599 |
|---|---|
| Provider Enumeration Date | 09/18/2021 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Medicare PECOS PAC ID | 5698152528 |
|---|---|
| Medicare Enrollment ID | O20220516001768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386314599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Simoni Baid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598127581 PECOS PAC ID: 3274826748 Enrollment ID: I20210210000582 |
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