| Aseret Medina, M.d. Pllc. | |
|
1901 Sw 172nd Ave Miramar FL 33029-5592 | |
| (786) 319-6838 | |
| (786) 529-8820 |
| Full Name | Aseret Medina, M.d. Pllc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1901 Sw 172nd Ave, Miramar, Florida |
| Authorized Official Name and Position | Jorge Garcia (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 3056060337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aseret Medina, M.d. Pllc. 1901 Sw 172nd Ave Miramar FL 33029-5592 Ph: (786) 319-6838 | Aseret Medina, M.d. Pllc. 1901 Sw 172nd Ave Miramar FL 33029-5592 Ph: (786) 319-6838 |
| NPI Number | 1578232633 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 09/10/2021 |
| Medicare PECOS PAC ID | 9335546365 |
|---|---|
| Medicare Enrollment ID | O20210917002199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578232633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Aseret D Medina Vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396184289 PECOS PAC ID: 2163656117 Enrollment ID: I20131008000072 |
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