| Caremax Medical Center Of Coral Way, L.l.c. | |
|
1757 Sw 22nd St Coral Gables FL 33145-2728 | |
| (786) 442-1040 | |
| (786) 567-4476 |
| Full Name | Caremax Medical Center Of Coral Way, L.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1757 Sw 22nd St, Coral Gables, Florida |
| Authorized Official Name and Position | Carlos De Solo (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3056498100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caremax Medical Center Of Coral Way, L.l.c. 1000 Nw 57th Ct Ste 400 Miami FL 33126-3292 Ph: (305) 649-8100 | Caremax Medical Center Of Coral Way, L.l.c. 1757 Sw 22nd St Coral Gables FL 33145-2728 Ph: (786) 442-1040 |
| NPI Number | 1154803021 |
|---|---|
| Provider Enumeration Date | 09/06/2018 |
| Last Update Date | 08/15/2024 |
| Medicare PECOS PAC ID | 4688002397 |
|---|---|
| Medicare Enrollment ID | O20200311002285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154803021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Maria E Alarcon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457723132 PECOS PAC ID: 6800197013 Enrollment ID: I20190328001440 |
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