| |
1479 Nw 27th Ave Miami FL 33125-2133 | |
(305) 633-3776 | |
(305) 633-4240 |
Full Name | |
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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 |
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6355 Nw 36th St East Building, Ste 1100 Virginia Gardens FL 33166 Ph: (786) 233-6981 | 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 |
---|---|
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 | 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 | 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 | Alfredo Rodriguez Gil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386246254 PECOS PAC ID: 4688078140 Enrollment ID: I20210804004047 |
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 | Nelson Gonzalez Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710642707 PECOS PAC ID: 2769873207 Enrollment ID: I20211217000161 |
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 | Sandro Sarria |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881357432 PECOS PAC ID: 5193110906 Enrollment ID: I20220314001868 |
Provider Name | Yamilet Dieguez Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194472092 PECOS PAC ID: 8729469820 Enrollment ID: I20220721000026 |
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 | Surely Fernandez Sanchez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790308922 PECOS PAC ID: 5698111284 Enrollment ID: I20240305004261 |
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 | Yinett Guillen Leon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326721366 PECOS PAC ID: 4981147279 Enrollment ID: I20240614001228 |
Provider Name | Yenisbel Sanchez Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659132322 PECOS PAC ID: 0547609091 Enrollment ID: I20240627004288 |
Provider Name | Yalila Munoz Otano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023870441 PECOS PAC ID: 9830635598 Enrollment ID: I20240718002490 |
Provider Name | Lixsan Acosta Veliz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003651126 PECOS PAC ID: 6901342518 Enrollment ID: I20240718004952 |
Provider Name | Humberto Jesus Lezcano Ortiz |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1609022862 PECOS PAC ID: 6608026554 Enrollment ID: I20240724004497 |
Provider Name | Alberto Agustin Riveron |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1437841533 PECOS PAC ID: 3577000785 Enrollment ID: I20240806002695 |
Provider Name | Belkis Padron Proenza |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558111559 PECOS PAC ID: 4486194511 Enrollment ID: I20240904002102 |
Provider Name | Lisgrace D Boucugnani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770354912 PECOS PAC ID: 2163953191 Enrollment ID: I20241002000411 |
Provider Name | Cleopatra Bobadilla Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811720790 PECOS PAC ID: 7911439211 Enrollment ID: I20241011000023 |
Provider Name | Andres Rodolfo Boucugnani Estrada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760244172 PECOS PAC ID: 8820520760 Enrollment ID: I20241016001923 |
Provider Name | Elian Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306622683 PECOS PAC ID: 3274065180 Enrollment ID: I20241016004924 |
Provider Name | Yilian Elena Batista Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376397174 PECOS PAC ID: 8325571904 Enrollment ID: I20241105000050 |
Provider Name | Ulises Alvarez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124853312 PECOS PAC ID: 6002953742 Enrollment ID: I20241121004613 |
Provider Name | Diliervys R Lopez Mesa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275300014 PECOS PAC ID: 0941735088 Enrollment ID: I20241126001016 |
Miami Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15806 Sw 98th St, Miami, FL 33196 Phone: 305-586-9812 | |
Medserve Of Dade County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15328 Nw 7th Ave, Miami, FL 33169 Phone: 786-235-0103 Fax: 305-681-5620 | |
Ontime Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7392 Nw 35th Ter, 306, Miami, FL 33122 Phone: 786-331-7886 | |
Dagmar Lemus Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Nw 14th St, Suite 303, Miami, FL 33125 Phone: 305-548-4005 Fax: 305-548-4055 | |
Midway Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8360 W Flagler St, Suite 100, Miami, FL 33144 Phone: 305-554-7200 Fax: 305-554-8173 | |
Mario L Nunez M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9075 Sw 87th Ave, Suite#414, Miami, FL 33176 Phone: 305-596-9800 Fax: 305-596-9808 | |
Alberto Iglesias Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7801 Coral Way, Suite 125, Miami, FL 33155 Phone: 305-266-1183 |