| Buena Vida Medical Centers | |
|
1360 S Dixie Hwy Ste 355 Coral Gables FL 33146-2656 | |
| (954) 706-6800 | |
| (954) 827-5706 |
| Full Name | Buena Vida Medical Centers |
|---|---|
| Speciality | Family Medicine |
| Location | 1360 S Dixie Hwy Ste 355, Coral Gables, Florida |
| Authorized Official Name and Position | Henri Coizeau (OWNER) |
| Authorized Official Contact | 9543364440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buena Vida Medical Centers 1360 S Dixie Hwy Ste 355 Coral Gables FL 33146-2904 Ph: (954) 706-6800 | Buena Vida Medical Centers 1360 S Dixie Hwy Ste 355 Coral Gables FL 33146-2656 Ph: (954) 706-6800 |
| NPI Number | 1104318963 |
|---|---|
| Provider Enumeration Date | 06/06/2018 |
| Last Update Date | 08/07/2023 |
| Medicare PECOS PAC ID | 6507294816 |
|---|---|
| Medicare Enrollment ID | O20200320000736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104318963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mayloren Mendez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972911402 PECOS PAC ID: 8426366196 Enrollment ID: I20150929002203 |
| Provider Name | Derrick H Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629568340 PECOS PAC ID: 5294089447 Enrollment ID: I20181107001095 |
| Provider Name | Japonesa Maria Read |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760027296 PECOS PAC ID: 8527496108 Enrollment ID: I20200313000216 |
| Provider Name | Janina E Cabrera |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174722136 PECOS PAC ID: 3678901998 Enrollment ID: I20200324003806 |
| Provider Name | Hector Barroso Reina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083375786 PECOS PAC ID: 7618354176 Enrollment ID: I20220523001172 |
| Provider Name | Katherine Soriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245978758 PECOS PAC ID: 5799158911 Enrollment ID: I20230308001711 |
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