| Community Medical Group | |
|
10060 Nw 7th St Unit 10 Pembroke Pines FL 33024-6158 | |
| (954) 606-0110 | |
| (954) 495-4162 |
| Full Name | Community Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 10060 Nw 7th St Unit 10, Pembroke Pines, Florida |
| Authorized Official Name and Position | Rayny Ramirez (PRESIDENT) |
| Authorized Official Contact | 7863227333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Group 6100 Blue Lagoon Dr Ste 365 Miami FL 33126-7010 Ph: (786) 322-7333 | Community Medical Group 10060 Nw 7th St Unit 10 Pembroke Pines FL 33024-6158 Ph: (954) 606-0110 |
| NPI Number | 1235876004 |
|---|---|
| Provider Enumeration Date | 05/13/2022 |
| Last Update Date | 10/19/2023 |
| Medicare PECOS PAC ID | 0941665848 |
|---|---|
| Medicare Enrollment ID | O20230427003163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235876004 | NPI | - | NPPES |
| 117583400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bolivar A Perez-diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649455254 PECOS PAC ID: 6204995533 Enrollment ID: I20150519001769 |
| Provider Name | Anamaria Hoyos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316671191 PECOS PAC ID: 9436597663 Enrollment ID: I20240405002260 |
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