Clinicas Victoria Inc | |
2099 W 76th St Hialeah FL 33016-1834 | |
(305) 263-0789 | |
Not Available |
Full Name | Clinicas Victoria Inc |
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Speciality | Family Medicine |
Location | 2099 W 76th St, Hialeah, Florida |
Authorized Official Name and Position | Yandira Hernandez Fernandez (VICE PRESIDENT) |
Authorized Official Contact | 3052630789 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinicas Victoria Inc 2099 W 76th St Hialeah FL 33016-1834 Ph: () - | Clinicas Victoria Inc 2099 W 76th St Hialeah FL 33016-1834 Ph: (305) 263-0789 |
NPI Number | 1770270555 |
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Provider Enumeration Date | 04/20/2023 |
Last Update Date | 04/20/2023 |
Medicare PECOS PAC ID | 0749626919 |
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Medicare Enrollment ID | O20240311000703 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770270555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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