| Yjw Excellent Care Llc | |
|
13205 Sw 137th Ave Ste 126 Miami FL 33186-5334 | |
| (786) 713-0383 | |
| (786) 250-5397 |
| Full Name | Yjw Excellent Care Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 13205 Sw 137th Ave Ste 126, Miami, Florida |
| Authorized Official Name and Position | Yosleidy Garcia Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7866136164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yjw Excellent Care Llc 13205 Sw 137th Ave Ste 126 Miami FL 33186-5334 Ph: (786) 713-0383 | Yjw Excellent Care Llc 13205 Sw 137th Ave Ste 126 Miami FL 33186-5334 Ph: (786) 713-0383 |
| NPI Number | 1811586837 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 12/03/2021 |
| Certification Date | 11/04/2021 |
| Medicare PECOS PAC ID | 5890187595 |
|---|---|
| Medicare Enrollment ID | O20220107001969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811586837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Carolina Mejia Otero |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1982035861 PECOS PAC ID: 1456644715 Enrollment ID: I20160725000167 |
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