| Community Medical Group | |
|
14285 Sw 42nd St Ste 205-207 Miami FL 33175-6410 | |
| (305) 551-2165 | |
| (786) 621-7812 |
| Full Name | Community Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 14285 Sw 42nd St Ste 205-207, Miami, Florida |
| Authorized Official Name and Position | Rayny Ramirez (PRESIDENT) |
| Authorized Official Contact | 7863227333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Group 6100 Blue Lagoon Dr Ste 365 Miami FL 33126-7010 Ph: (786) 322-7333 | Community Medical Group 14285 Sw 42nd St Ste 205-207 Miami FL 33175-6410 Ph: (305) 551-2165 |
| NPI Number | 1386368884 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 05/25/2023 |
| Medicare PECOS PAC ID | 2961864160 |
|---|---|
| Medicare Enrollment ID | O20230821002065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386368884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lenier Perez Miranda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578982179 PECOS PAC ID: 4385904903 Enrollment ID: I20180130001912 |
| Provider Name | Eugenia Melida Sierra Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831628189 PECOS PAC ID: 0840535811 Enrollment ID: I20181219001410 |
| Provider Name | Rafael Rosales Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447923792 PECOS PAC ID: 6507203056 Enrollment ID: I20240320002081 |
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