| Alfredo Melgar, Md Pa | |
|
10000 Sw 56th St Ste 17 Miami FL 33165-7162 | |
| (305) 223-2436 | |
| Not Available |
| Full Name | Alfredo Melgar, Md Pa |
|---|---|
| Speciality | General Practice |
| Location | 10000 Sw 56th St Ste 17, Miami, Florida |
| Authorized Official Name and Position | Alfredo Melgar (PRESIDENT) |
| Authorized Official Contact | 3052232436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfredo Melgar, Md Pa 8275 Sw 93rd St Miami FL 33156-7358 Ph: (305) 401-5596 | Alfredo Melgar, Md Pa 10000 Sw 56th St Ste 17 Miami FL 33165-7162 Ph: (305) 223-2436 |
| NPI Number | 1891047742 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 07/16/2024 |
| Medicare PECOS PAC ID | 9537310644 |
|---|---|
| Medicare Enrollment ID | O20121120000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891047742 | NPI | - | NPPES |
| 006636500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME1027962 (Florida) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Alfredo J Melgar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093981912 PECOS PAC ID: 8426114398 Enrollment ID: I20090227000439 |
| Provider Name | Leticia Fernandez Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558979294 PECOS PAC ID: 7911375704 Enrollment ID: I20221129002035 |
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