| Cevares Medical Care, Llc | |
|
757 Nw 27th Ave Ste 201 Miami FL 33125-3012 | |
| (786) 472-0230 | |
| (786) 408-6242 |
| Full Name | Cevares Medical Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 757 Nw 27th Ave Ste 201, Miami, Florida |
| Authorized Official Name and Position | Julio Cesar Cevares Alcantara (AO) |
| Authorized Official Contact | 7864720230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cevares Medical Care, Llc 757 Nw 27th Ave Ste 201 Miami FL 33125-3012 Ph: (786) 472-0230 | Cevares Medical Care, Llc 757 Nw 27th Ave Ste 201 Miami FL 33125-3012 Ph: (786) 472-0230 |
| NPI Number | 1023606803 |
|---|---|
| Provider Enumeration Date | 01/06/2021 |
| Last Update Date | 06/30/2022 |
| Medicare PECOS PAC ID | 5597179804 |
|---|---|
| Medicare Enrollment ID | O20210128000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023606803 | NPI | - | NPPES |
| 114025400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Julio C Cevares Alcantara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558841585 PECOS PAC ID: 9638417009 Enrollment ID: I20190208002520 |
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