| Caremax Medical Center Of Homestead, Llc | |
|
833 N Homestead Blvd Homestead FL 33030-5024 | |
| (305) 245-3247 | |
| Not Available |
| Full Name | Caremax Medical Center Of Homestead, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 833 N Homestead Blvd, Homestead, 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 Homestead, Llc 1000 Nw 57th Ct Ste 400 Miami FL 33126-3292 Ph: (305) 649-8100 | Caremax Medical Center Of Homestead, Llc 833 N Homestead Blvd Homestead FL 33030-5024 Ph: (305) 245-3247 |
| NPI Number | 1497034920 |
|---|---|
| Provider Enumeration Date | 08/15/2011 |
| Last Update Date | 08/19/2024 |
| Medicare PECOS PAC ID | 5395991053 |
|---|---|
| Medicare Enrollment ID | O20120813000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497034920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 302R00000X | Health Maintenance Organization | (* (Not Available)) | Secondary |
| Provider Name | Maria J Jaime |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285874636 PECOS PAC ID: 6406000306 Enrollment ID: I20130130000314 |
| Provider Name | Julio Ernesto Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124366471 PECOS PAC ID: 7012923816 Enrollment ID: I20140321000892 |
| Provider Name | Carlos J Hernandez Morffiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740947761 PECOS PAC ID: 7315337318 Enrollment ID: I20211207000164 |
| Provider Name | Rolando Guerra Iglesias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255940425 PECOS PAC ID: 6800283060 Enrollment ID: I20220419000671 |
| Provider Name | Dalay Vazquez Novoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700533684 PECOS PAC ID: 8325429160 Enrollment ID: I20220725003270 |
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