Centers Of Medical Excellence, Llc | |
1738 W 49th St Ste 10 Hialeah FL 33012-3457 | |
(305) 698-8432 | |
(305) 698-8975 |
Full Name | Centers Of Medical Excellence, Llc |
---|---|
Speciality | General Practice |
Location | 1738 W 49th St Ste 10, Hialeah, Florida |
Authorized Official Name and Position | Sadita Bustamante (COO) |
Authorized Official Contact | 3058743909 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Centers Of Medical Excellence, Llc 7925 Nw 12th St Ste 201 Doral FL 33126-1821 Ph: (305) 874-3909 | Centers Of Medical Excellence, Llc 1738 W 49th St Ste 10 Hialeah FL 33012-3457 Ph: (305) 698-8432 |
NPI Number | 1073196986 |
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Provider Enumeration Date | 04/29/2021 |
Last Update Date | 04/29/2021 |
Medicare PECOS PAC ID | 9739588666 |
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Medicare Enrollment ID | O20210526002394 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073196986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Armando Segui |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1730121252 PECOS PAC ID: 5991692659 Enrollment ID: I20040228000182 |
Provider Name | Alejandro M Hernandez Cano |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1285613679 PECOS PAC ID: 5092705921 Enrollment ID: I20040513000971 |
Provider Name | Ramon A Berenguer |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1154307874 PECOS PAC ID: 1557337656 Enrollment ID: I20040909000800 |
Provider Name | Leandro L Otero |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396785416 PECOS PAC ID: 3173590650 Enrollment ID: I20040914000701 |
Provider Name | Pedro Caro |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1487618096 PECOS PAC ID: 3779514815 Enrollment ID: I20050830000294 |
Provider Name | Ines Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659609410 PECOS PAC ID: 3476683855 Enrollment ID: I20100610000942 |
Provider Name | Andres A Prieto |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831201763 PECOS PAC ID: 7517083819 Enrollment ID: I20110111000126 |
Provider Name | Joel Gonzalez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902136617 PECOS PAC ID: 2961656665 Enrollment ID: I20130205000382 |
Provider Name | Gladys Lizzette Andrade |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1740545201 PECOS PAC ID: 3779732953 Enrollment ID: I20130423000297 |
Provider Name | Pedro Gonzalez Amaro |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1558613000 PECOS PAC ID: 6103140173 Enrollment ID: I20150122000122 |
Provider Name | Elizabeth Gamez Pardo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104221597 PECOS PAC ID: 1456678861 Enrollment ID: I20150324001508 |
Provider Name | Roberto Guerra Del Castillo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003156209 PECOS PAC ID: 4880737147 Enrollment ID: I20160215002663 |
Provider Name | Andres Cintra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003329772 PECOS PAC ID: 0547520629 Enrollment ID: I20180209001759 |
Provider Name | Yanet Perez Prieto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306296603 PECOS PAC ID: 9739442708 Enrollment ID: I20180405000466 |
Provider Name | Luis J Ricardo Barrero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710466651 PECOS PAC ID: 1850635459 Enrollment ID: I20181210000723 |
Provider Name | Yeneysi Notario |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700164035 PECOS PAC ID: 8729368840 Enrollment ID: I20181212003229 |
Provider Name | Moraima Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912429291 PECOS PAC ID: 6103162326 Enrollment ID: I20190109001583 |
Provider Name | Raul Leon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891201323 PECOS PAC ID: 9739511155 Enrollment ID: I20191122001075 |
Provider Name | Maria E Hernandez Echevarria |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942711445 PECOS PAC ID: 4284059361 Enrollment ID: I20200806001409 |
Provider Name | Mayelin Morales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457817058 PECOS PAC ID: 1557781879 Enrollment ID: I20201026001033 |
Provider Name | Maritza L Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811506827 PECOS PAC ID: 2163838731 Enrollment ID: I20210304002801 |
Provider Name | Yunexis Napoles Izquierdo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639751183 PECOS PAC ID: 5294134375 Enrollment ID: I20210521000791 |
Provider Name | Pedro Agustin Ferrer Suarez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1851987671 PECOS PAC ID: 4880093632 Enrollment ID: I20210527000130 |
Provider Name | Rogelio Cabrera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508480617 PECOS PAC ID: 0042613523 Enrollment ID: I20210721001328 |
Provider Name | Melba L Rubayo Acosta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023752649 PECOS PAC ID: 2567849367 Enrollment ID: I20220517001876 |
Provider Name | Elaine Vallejo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053178772 PECOS PAC ID: 4486197720 Enrollment ID: I20240614003048 |
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