Caremax Medical Center Of Pembroke Pines, Llc | |
501 Nw 103rd Ave Pembroke Pines FL 33026-3924 | |
(305) 245-3247 | |
(877) 861-0354 |
Full Name | Caremax Medical Center Of Pembroke Pines, Llc |
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Speciality | General Practice |
Location | 501 Nw 103rd Ave, Pembroke Pines, 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 |
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Caremax Medical Center Of Pembroke Pines, Llc 1000 Nw 57th Ct Ste 400 Miami FL 33126-3292 Ph: (305) 649-8100 | Caremax Medical Center Of Pembroke Pines, Llc 501 Nw 103rd Ave Pembroke Pines FL 33026-3924 Ph: (305) 245-3247 |
NPI Number | 1255878005 |
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Provider Enumeration Date | 01/31/2017 |
Last Update Date | 08/19/2024 |
Medicare PECOS PAC ID | 7113266040 |
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Medicare Enrollment ID | O20190311002338 |
Identifier | Type | State | Issuer |
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1255878005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Karen Prida |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033379896 PECOS PAC ID: 5496810608 Enrollment ID: I20090220000555 |
Provider Name | Maria J Jaime |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285874636 PECOS PAC ID: 6406000306 Enrollment ID: I20130130000314 |
Provider Name | Elesban Alvero Proenza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790106805 PECOS PAC ID: 4688894934 Enrollment ID: I20141008001640 |
Provider Name | Ernesto Padron |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295968048 PECOS PAC ID: 2264735570 Enrollment ID: I20160120002117 |
Provider Name | Alena Diaz De La Nuez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982002705 PECOS PAC ID: 2264826759 Enrollment ID: I20220226000109 |
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