| Bayamo Medical Center Inc | |
|
9002 Sw 40th St Miami FL 33165-5343 | |
| (786) 541-4727 | |
| Not Available |
| Full Name | Bayamo Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9002 Sw 40th St, Miami, Florida |
| Authorized Official Name and Position | Elizabeth Del Prado (PRESIDENT) |
| Authorized Official Contact | 7863019963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayamo Medical Center Inc 420 Sw 133rd Pl Miami FL 33184-1131 Ph: (786) 301-9963 | Bayamo Medical Center Inc 9002 Sw 40th St Miami FL 33165-5343 Ph: (786) 541-4727 |
| NPI Number | 1740851450 |
|---|---|
| Provider Enumeration Date | 07/03/2021 |
| Last Update Date | 12/07/2022 |
| Medicare PECOS PAC ID | 1850776576 |
|---|---|
| Medicare Enrollment ID | O20220916000903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740851450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Luis Del Prado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619230612 PECOS PAC ID: 4385871813 Enrollment ID: I20131209000453 |
| Provider Name | Armando Mauri Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336766518 PECOS PAC ID: 0345663993 Enrollment ID: I20200715000407 |
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