Vida Nueva Health Center Inc | |
5209 Nw 36th St Miami Springs FL 33166-5923 | |
(786) 712-7752 | |
Not Available |
Full Name | Vida Nueva Health Center Inc |
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Speciality | Community/Behavioral Health |
Location | 5209 Nw 36th St, Miami Springs, Florida |
Authorized Official Name and Position | Alain Cribeiro (PRESIDENT) |
Authorized Official Contact | 7867127752 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vida Nueva Health Center Inc 5209 Nw 36th St Miami Springs FL 33166-5923 Ph: (786) 712-7752 | Vida Nueva Health Center Inc 5209 Nw 36th St Miami Springs FL 33166-5923 Ph: (786) 712-7752 |
NPI Number | 1366027815 |
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Provider Enumeration Date | 03/16/2021 |
Last Update Date | 03/16/2021 |
Certification Date | 03/16/2021 |
Medicare PECOS PAC ID | 6305231531 |
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Medicare Enrollment ID | O20220324001740 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366027815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Eric Michael Teplicki |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1851724801 PECOS PAC ID: 4284908344 Enrollment ID: I20170928000679 |
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