| Av Life And Health Insurance Llc Dba Univida Medical Center | |
|
7000 W 12th Ave Ste 4 Hialeah FL 33014-5154 | |
| (305) 510-6778 | |
| Not Available |
| Full Name | Av Life And Health Insurance Llc Dba Univida Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 7000 W 12th Ave Ste 4, Hialeah, Florida |
| Authorized Official Name and Position | Ana Mesa (PRESIDENT) |
| Authorized Official Contact | 3055106778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Av Life And Health Insurance Llc Dba Univida Medical Center 7000 W 12th Ave Ste 4 Hialeah FL 33014-5154 Ph: (305) 510-6778 | Av Life And Health Insurance Llc Dba Univida Medical Center 7000 W 12th Ave Ste 4 Hialeah FL 33014-5154 Ph: (305) 510-6778 |
| NPI Number | 1336898774 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 03/25/2022 |
| Medicare PECOS PAC ID | 5799166195 |
|---|---|
| Medicare Enrollment ID | O20220717000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336898774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Edangel Garcia Chirino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437544384 PECOS PAC ID: 7911231451 Enrollment ID: I20190702003617 |
| Provider Name | Yamilet Dieguez Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194472092 PECOS PAC ID: 8729469820 Enrollment ID: I20220721000026 |
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