| Albert G Logun M D Hubert G Martinez M D P A | |
|
7100 W 20th Ave Ste 401 Hialeah FL 33016-1811 | |
| (305) 821-6112 | |
| (305) 821-6112 |
| Full Name | Albert G Logun M D Hubert G Martinez M D P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 7100 W 20th Ave Ste 401, Hialeah, Florida |
| Authorized Official Name and Position | Jorge Luis Diaz (PRESIDENT) |
| Authorized Official Contact | 3058216112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Albert G Logun M D Hubert G Martinez M D P A 7100 W 20th Ave Ste 401 Hialeah FL 33016-1811 Ph: (305) 821-6112 | Albert G Logun M D Hubert G Martinez M D P A 7100 W 20th Ave Ste 401 Hialeah FL 33016-1811 Ph: (305) 821-6112 |
| NPI Number | 1598791774 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 6800807744 |
|---|---|
| Medicare Enrollment ID | O20060508000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598791774 | NPI | - | NPPES |
| 019928600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS7912 (Florida) | Primary |
| Provider Name | Jorge L Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346279809 PECOS PAC ID: 1951363027 Enrollment ID: I20120529000518 |
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