Community Medical Group | |
751 W Palm Dr Florida City FL 33034-3223 | |
(786) 377-0120 | |
(305) 248-6106 |
Full Name | Community Medical Group |
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Speciality | Family Medicine |
Location | 751 W Palm Dr, Florida City, 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 Suite 365 Miami FL 33126-2079 Ph: (786) 322-7333 | Community Medical Group 751 W Palm Dr Florida City FL 33034-3223 Ph: (786) 377-0120 |
NPI Number | 1205118874 |
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Provider Enumeration Date | 09/09/2011 |
Last Update Date | 05/25/2023 |
Medicare PECOS PAC ID | 8426295254 |
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Medicare Enrollment ID | O20130606000031 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205118874 | NPI | - | NPPES |
009427001 | Medicaid | FL | |
009427000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Liliana Del Carmen Cedeno Garces |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861944431 PECOS PAC ID: 7517235187 Enrollment ID: I20170622002938 |
Provider Name | Martha Diaz Salazar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346625811 PECOS PAC ID: 0143587816 Enrollment ID: I20171205002427 |
Provider Name | Argelio A Martinez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629535760 PECOS PAC ID: 6800122052 Enrollment ID: I20210614000165 |
Provider Name | Harlyn Rodriguez Iglesias |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699320812 PECOS PAC ID: 8022456201 Enrollment ID: I20240406000540 |
Provider Name | Ileana Maria Fiallo Morejon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194337444 PECOS PAC ID: 2961842018 Enrollment ID: I20240506004740 |
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