| Advance Urgent Care Center Llc | |
|
10260 Sw 56th St Ste 104 Miami FL 33165-7021 | |
| (786) 287-2236 | |
| Not Available |
| Full Name | Advance Urgent Care Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10260 Sw 56th St Ste 104, Miami, Florida |
| Authorized Official Name and Position | Alejandro De Villiers (PRESIDENT) |
| Authorized Official Contact | 7862872236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Urgent Care Center Llc 10260 Sw 56th St Ste 104 Miami FL 33165-7021 Ph: (786) 287-2236 | Advance Urgent Care Center Llc 10260 Sw 56th St Ste 104 Miami FL 33165-7021 Ph: (786) 287-2236 |
| NPI Number | 1871146746 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 02/16/2021 |
| Medicare PECOS PAC ID | 4284059015 |
|---|---|
| Medicare Enrollment ID | O20200810003362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871146746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Ramses Vega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760429716 PECOS PAC ID: 8729986278 Enrollment ID: I20031222000726 |
| Provider Name | Robert F Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245259084 PECOS PAC ID: 4981638970 Enrollment ID: I20050920000328 |
| Provider Name | Rafael Pineiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265805147 PECOS PAC ID: 6204073984 Enrollment ID: I20200612000926 |
| Provider Name | Blanca M Casanueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417551607 PECOS PAC ID: 8820402258 Enrollment ID: I20210127000179 |
| Provider Name | Marco Antonio Marcheco Barzaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619674009 PECOS PAC ID: 1850765132 Enrollment ID: I20230328002707 |
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