| Ana J Fandino Md Pa | |
|
9780 Sw 24th St Miami FL 33165-7574 | |
| (305) 551-5051 | |
| (305) 551-8808 |
| Full Name | Ana J Fandino Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 9780 Sw 24th St, Miami, Florida |
| Authorized Official Name and Position | Ana Julia Fandino (PRESIDENT) |
| Authorized Official Contact | 3055515051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ana J Fandino Md Pa 9780 Sw 24th St Miami FL 33165-7574 Ph: (305) 551-5051 | Ana J Fandino Md Pa 9780 Sw 24th St Miami FL 33165-7574 Ph: (305) 551-5051 |
| NPI Number | 1639102155 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 08/17/2007 |
| Medicare PECOS PAC ID | 4789629411 |
|---|---|
| Medicare Enrollment ID | O20050623000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639102155 | NPI | - | NPPES |
| 272739100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME91994 (Florida) | Primary |
| Provider Name | Ana J Fandino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033157938 PECOS PAC ID: 8325083058 Enrollment ID: I20050624000206 |
| Provider Name | Javier Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336469055 PECOS PAC ID: 7810995149 Enrollment ID: I20190219003254 |
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