| Aeshtor E Bombino Mdpa | |
|
10651 N Kendall Dr Suite 201 Miami FL 33176-1569 | |
| (305) 275-7373 | |
| (305) 275-7066 |
| Full Name | Aeshtor E Bombino Mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10651 N Kendall Dr, Miami, Florida |
| Authorized Official Name and Position | Aesthor E Bombino (OWNER) |
| Authorized Official Contact | 3052757373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aeshtor E Bombino Mdpa 10651 N Kendall Dr Suite 201 Miami FL 33176-1569 Ph: (305) 275-7373 | Aeshtor E Bombino Mdpa 10651 N Kendall Dr Suite 201 Miami FL 33176-1569 Ph: (305) 275-7373 |
| NPI Number | 1477663805 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 11/12/2009 |
| Medicare PECOS PAC ID | 2264511195 |
|---|---|
| Medicare Enrollment ID | O20080505000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477663805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME80957 (Florida) | Primary |
| Provider Name | Aesthor E Bombino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740241652 PECOS PAC ID: 8820063407 Enrollment ID: I20040827000406 |
| Provider Name | Rosa G Garcia Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982181194 PECOS PAC ID: 0042556631 Enrollment ID: I20190118001959 |
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