| Arles Perdomo Md Pa | |
|
777 E 25th St Ste 502 Hialeah FL 33013-3834 | |
| (305) 497-6688 | |
| (786) 553-2667 |
| Full Name | Arles Perdomo Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 777 E 25th St Ste 502, Hialeah, Florida |
| Authorized Official Name and Position | Arles Perdomo (OWNER) |
| Authorized Official Contact | 7866831865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arles Perdomo Md Pa 777 E 25th St Ste 502 Hialeah FL 33013-3834 Ph: (305) 497-6688 | Arles Perdomo Md Pa 777 E 25th St Ste 502 Hialeah FL 33013-3834 Ph: (305) 497-6688 |
| NPI Number | 1194464065 |
|---|---|
| Provider Enumeration Date | 05/31/2022 |
| Last Update Date | 06/10/2024 |
| Medicare PECOS PAC ID | 6800051129 |
|---|---|
| Medicare Enrollment ID | O20120711000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194464065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Arles Perdomo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033218821 PECOS PAC ID: 8325945793 Enrollment ID: I20031215000394 |
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