| 221 Llc | |
|
1435 W 49th Place Suite 402 Hialeah FL 33012-3147 | |
| (305) 907-8526 | |
| (786) 534-2493 |
| Full Name | 221 Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1435 W 49th Place, Hialeah, Florida |
| Authorized Official Name and Position | Layansi Garcia-puerto (PRESIDENT) |
| Authorized Official Contact | 3059287249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 221 Llc Po Box 282071 Tampa FL 33630-2071 Ph: (305) 928-7249 | 221 Llc 1435 W 49th Place Suite 402 Hialeah FL 33012-3147 Ph: (305) 907-8526 |
| NPI Number | 1831843515 |
|---|---|
| Provider Enumeration Date | 02/10/2022 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 2769863216 |
|---|---|
| Medicare Enrollment ID | O20220715000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831843515 | NPI | - | NPPES |
| Provider Name | George Daniel Yatzkan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457308744 PECOS PAC ID: 0042293672 Enrollment ID: I20040612000352 |
| Provider Name | Maria Campos-yatzkan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093981680 PECOS PAC ID: 3072678465 Enrollment ID: I20090219000021 |
| Provider Name | Layansi Garcia-puerto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659685337 PECOS PAC ID: 9638352453 Enrollment ID: I20110331000357 |
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