| Bluecare Inc | |
|
2500 Sw 75th Ave Miami FL 33155-2805 | |
| (305) 264-6920 | |
| Not Available |
| Full Name | Bluecare Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 Sw 75th Ave, Miami, Florida |
| Authorized Official Name and Position | Sergio Hernandez Borges (OWNER) |
| Authorized Official Contact | 3054392281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluecare Inc 2796 Sw 148th Ct Miami FL 33185-4587 Ph: (305) 439-2281 | Bluecare Inc 2500 Sw 75th Ave Miami FL 33155-2805 Ph: (305) 264-6920 |
| NPI Number | 1053893578 |
|---|---|
| Provider Enumeration Date | 08/31/2018 |
| Last Update Date | 08/31/2018 |
| Medicare PECOS PAC ID | 1456693084 |
|---|---|
| Medicare Enrollment ID | O20190501002908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053893578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME126433 (Florida) | Primary |
| Provider Name | Sergio Hernandez Borges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043600414 PECOS PAC ID: 7012203458 Enrollment ID: I20161119000046 |
| Provider Name | Melvin Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427581263 PECOS PAC ID: 5294138426 Enrollment ID: I20210727000329 |
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