| Aoc Healthcare Center | |
|
1740 Nw 167th St Miami Gardens FL 33054-6661 | |
| (786) 856-8237 | |
| Not Available |
| Full Name | Aoc Healthcare Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1740 Nw 167th St, Miami Gardens, Florida |
| Authorized Official Name and Position | Anibal Reinier Cabrera Lopez (OWNER) |
| Authorized Official Contact | 7868568237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aoc Healthcare Center 1740 Nw 167th St Miami Gardens FL 33054-6661 Ph: (786) 856-8237 | Aoc Healthcare Center 1740 Nw 167th St Miami Gardens FL 33054-6661 Ph: (786) 856-8237 |
| NPI Number | 1730755562 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 10/22/2024 |
| Medicare PECOS PAC ID | 0941680078 |
|---|---|
| Medicare Enrollment ID | O20220707002112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730755562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Anibal Cabrera Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790311454 PECOS PAC ID: 4981010618 Enrollment ID: I20210304000982 |
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