| Dade Healthcare Specialists | |
|
8300 Sw 8th St Ste 108 Miami FL 33144-4100 | |
| (786) 482-5019 | |
| (786) 482-5493 |
| Full Name | Dade Healthcare Specialists |
|---|---|
| Speciality | General Practice |
| Location | 8300 Sw 8th St Ste 108, Miami, Florida |
| Authorized Official Name and Position | Jose L Marrero Padrino (PRESIDENT) |
| Authorized Official Contact | 7863687918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dade Healthcare Specialists 8300 Sw 8th St Ste 108 Miami FL 33144-4100 Ph: (786) 482-5019 | Dade Healthcare Specialists 8300 Sw 8th St Ste 108 Miami FL 33144-4100 Ph: (786) 482-5019 |
| NPI Number | 1598159758 |
|---|---|
| Provider Enumeration Date | 03/26/2015 |
| Last Update Date | 11/01/2022 |
| Medicare PECOS PAC ID | 7810258365 |
|---|---|
| Medicare Enrollment ID | O20180227000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598159758 | NPI | - | NPPES |
| Provider Name | Iliana M Holguin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386694495 PECOS PAC ID: 1658368931 Enrollment ID: I20040428001074 |
| Provider Name | Fernando L Soutullo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346257805 PECOS PAC ID: 5395728885 Enrollment ID: I20040607001448 |
| Provider Name | Elizabeth Gamez Pardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104221597 PECOS PAC ID: 1456678861 Enrollment ID: I20150324001508 |
| Provider Name | Rafael A Soriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609385574 PECOS PAC ID: 0345589628 Enrollment ID: I20190304002344 |
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