| Buena Vista Medical Services Inc | |
|
11805 Sw 46th St Miami FL 33175-4739 | |
| (305) 610-2526 | |
| (305) 221-5224 |
| Full Name | Buena Vista Medical Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 11805 Sw 46th St, Miami, Florida |
| Authorized Official Name and Position | Carlos A Perez (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3056102526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buena Vista Medical Services Inc 11805 Sw 46th St Miami FL 33175-4739 Ph: (305) 610-2526 | Buena Vista Medical Services Inc 11805 Sw 46th St Miami FL 33175-4739 Ph: (305) 610-2526 |
| NPI Number | 1184634818 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 09/30/2020 |
| Medicare PECOS PAC ID | 0749378180 |
|---|---|
| Medicare Enrollment ID | O20071119000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184634818 | NPI | - | NPPES |
| AG701 | Other | FL | GENERAL PRACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
| Provider Name | Carlos A Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649289471 PECOS PAC ID: 0749191757 Enrollment ID: I20040522000001 |
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