Las Mercedes Medical Centers | |
1479 Nw 27th Ave Miami FL 33125-2133 | |
(305) 633-3776 | |
(305) 633-4240 |
Full Name | Las Mercedes Medical Centers |
---|---|
Speciality | Clinic/Center |
Location | 1479 Nw 27th Ave, Miami, Florida |
Authorized Official Name and Position | Jorge Raad (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 7862336981 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Las Mercedes Medical Centers 6355 Nw 36th St East Building, Ste 1100 Virginia Gardens FL 33166 Ph: (786) 233-6981 | Las Mercedes Medical Centers 1479 Nw 27th Ave Miami FL 33125-2133 Ph: (305) 633-3776 |
NPI Number | 1326090960 |
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Provider Enumeration Date | 05/16/2006 |
Last Update Date | 04/18/2024 |
Medicare PECOS PAC ID | 5890750731 |
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Medicare Enrollment ID | O20041119000908 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326090960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Rafael Gonzalez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487608840 PECOS PAC ID: 1153392972 Enrollment ID: I20040804001501 |
Provider Name | Oslay J Batista |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760617971 PECOS PAC ID: 2961556428 Enrollment ID: I20130507000260 |
Provider Name | Rafael Junco |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194016378 PECOS PAC ID: 0840512208 Enrollment ID: I20141215000644 |
Provider Name | Vivian Torres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386048338 PECOS PAC ID: 8527386192 Enrollment ID: I20150604002861 |
Provider Name | Nereida M Suarez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598160541 PECOS PAC ID: 6507173150 Enrollment ID: I20150915002671 |
Provider Name | Amarilys Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043618903 PECOS PAC ID: 4981866597 Enrollment ID: I20151014000441 |
Provider Name | Consuelo Mocega |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710413448 PECOS PAC ID: 2163431818 Enrollment ID: I20180212001364 |
Provider Name | Frank C. Alvarez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831637933 PECOS PAC ID: 9537427729 Enrollment ID: I20180228002896 |
Provider Name | Cecilio Douglas Campbell |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1952849168 PECOS PAC ID: 0648539965 Enrollment ID: I20180424002686 |
Provider Name | Tania Perez Ramos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275979544 PECOS PAC ID: 5496099814 Enrollment ID: I20181211003199 |
Provider Name | Katia Fajardo Martinez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1043704919 PECOS PAC ID: 2769721497 Enrollment ID: I20190225001609 |
Provider Name | Martin Gomez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1134671290 PECOS PAC ID: 1052419744 Enrollment ID: I20190226000363 |
Provider Name | Yanet Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487216222 PECOS PAC ID: 6800220088 Enrollment ID: I20191220001335 |
Provider Name | Ramiro Rodriguez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1336708478 PECOS PAC ID: 0143646661 Enrollment ID: I20200814001040 |
Provider Name | German Gorrita |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427697697 PECOS PAC ID: 5496165730 Enrollment ID: I20201028000110 |
Provider Name | Delio Guillermo Gomez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417575275 PECOS PAC ID: 5294141586 Enrollment ID: I20210311000966 |
Provider Name | Carlos E Carbonell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174165724 PECOS PAC ID: 1153737259 Enrollment ID: I20210316001519 |
Provider Name | Nayle Romero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912548827 PECOS PAC ID: 3870993306 Enrollment ID: I20210621001284 |
Provider Name | Suez Oramas Mingo |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1396237962 PECOS PAC ID: 6800296393 Enrollment ID: I20210622000120 |
Provider Name | Jorge Nelson De La Rosa Perez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1518580562 PECOS PAC ID: 6800292863 Enrollment ID: I20210831002151 |
Provider Name | Jorge Alexis Carvajal Ortiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568033892 PECOS PAC ID: 5597161414 Enrollment ID: I20210901001111 |
Provider Name | Diana De Los Angeles Iglesias Lastre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184295420 PECOS PAC ID: 3375934169 Enrollment ID: I20220105002529 |
Provider Name | Grisell Lopez-fragoso |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1346625746 PECOS PAC ID: 7618300583 Enrollment ID: I20220127000038 |
Provider Name | Miguel Angel Albertini Fernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265999320 PECOS PAC ID: 9739572330 Enrollment ID: I20220202003047 |
Provider Name | Ariadna Fernandez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972677664 PECOS PAC ID: 1456308667 Enrollment ID: I20220826000361 |
Provider Name | Lirian D Leyva Reyes |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1841871019 PECOS PAC ID: 6204202351 Enrollment ID: I20221014002009 |
Provider Name | Yoandra Carralero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962101907 PECOS PAC ID: 2860866324 Enrollment ID: I20230323001892 |
Provider Name | Marielys Cantillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124722095 PECOS PAC ID: 9436419819 Enrollment ID: I20240104004752 |
Provider Name | Leodan Diaz Alfonso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780384354 PECOS PAC ID: 6002253580 Enrollment ID: I20240319004132 |
Provider Name | Andilay Rivero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952178881 PECOS PAC ID: 0042650087 Enrollment ID: I20240424003419 |
Provider Name | Jorge Guillermo Carr Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952158719 PECOS PAC ID: 6002258076 Enrollment ID: I20240522000787 |
Provider Name | Eduardo Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487236394 PECOS PAC ID: 9931541927 Enrollment ID: I20240522001588 |
Provider Name | Yinett Guillen Leon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326721366 PECOS PAC ID: 4981147279 Enrollment ID: I20240614001228 |
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