| Dedicated Senior Medical Center | |
|
1395 Nw 167th St Miami Gardens FL 33169-5710 | |
| (305) 628-6117 | |
| Not Available |
| Full Name | Dedicated Senior Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1395 Nw 167th St, Miami Gardens, Florida |
| Authorized Official Name and Position | Mary Chen (OWNER) |
| Authorized Official Contact | 3058314722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dedicated Senior Medical Center 1395 Nw 167th St Miami Gardens FL 33169-5710 Ph: (305) 628-6117 | Dedicated Senior Medical Center 1395 Nw 167th St Miami Gardens FL 33169-5710 Ph: (305) 628-6117 |
| NPI Number | 1174141899 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 4385054295 |
|---|---|
| Medicare Enrollment ID | O20201104002215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174141899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Manjula Cherukuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477632016 PECOS PAC ID: 1850493743 Enrollment ID: I20070223000265 |
| Provider Name | Patrice Latimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851471254 PECOS PAC ID: 2163601337 Enrollment ID: I20110120000871 |
| Provider Name | Zeba Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417931262 PECOS PAC ID: 4587845722 Enrollment ID: I20110222000609 |
| Provider Name | Glencora Lily Sharfman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235371410 PECOS PAC ID: 2163662883 Enrollment ID: I20130701000293 |
| Provider Name | Tolulope Omolayo Awolaja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548538820 PECOS PAC ID: 1254575939 Enrollment ID: I20150416002273 |
| Provider Name | Jordan C Boynton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083004105 PECOS PAC ID: 0042538274 Enrollment ID: I20150417001589 |
| Provider Name | Maria Md La Cruz Rondon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255596342 PECOS PAC ID: 1850603093 Enrollment ID: I20150701000878 |
| Provider Name | Linu Samuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821356064 PECOS PAC ID: 6002123064 Enrollment ID: I20161013001465 |
| Provider Name | Harsh Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437594892 PECOS PAC ID: 3173818465 Enrollment ID: I20200706002960 |
| Provider Name | Angela Cano-garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851823462 PECOS PAC ID: 3577986603 Enrollment ID: I20201104002282 |
| Provider Name | Evelyn A. Odawo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497001549 PECOS PAC ID: 4981851987 Enrollment ID: I20210217001334 |
| Provider Name | Amir Goldenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295720746 PECOS PAC ID: 8123056041 Enrollment ID: I20210311000044 |
| Provider Name | Andrew Barr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013994243 PECOS PAC ID: 5799112942 Enrollment ID: I20210323002121 |
| Provider Name | Annie Kristin Janise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609373331 PECOS PAC ID: 5799193801 Enrollment ID: I20210408002574 |
| Provider Name | Diana Cativo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932641107 PECOS PAC ID: 3274969860 Enrollment ID: I20210507002147 |
| Provider Name | Samrita Uday Varde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336661545 PECOS PAC ID: 6608123070 Enrollment ID: I20210720001114 |
| Provider Name | Robert Michael Selvester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346220506 PECOS PAC ID: 5991124232 Enrollment ID: I20210917000477 |
| Provider Name | Syed Jaffery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700375920 PECOS PAC ID: 0042551491 Enrollment ID: I20211011002242 |
| Provider Name | Onachi O Ofoma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710321435 PECOS PAC ID: 6002248523 Enrollment ID: I20211106000177 |
| Provider Name | Phu Vo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205067394 PECOS PAC ID: 3072668110 Enrollment ID: I20211214000880 |
| Provider Name | Frank Bernard Ebai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902468796 PECOS PAC ID: 2264814342 Enrollment ID: I20220805002161 |
| Provider Name | Tony T Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205133204 PECOS PAC ID: 0143528877 Enrollment ID: I20220903000201 |
| Provider Name | Linda Ekwealor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205399631 PECOS PAC ID: 4688917313 Enrollment ID: I20220926001894 |
| Provider Name | Sailaja Dandamudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679869036 PECOS PAC ID: 5890946503 Enrollment ID: I20220927000883 |
| Provider Name | Ivan Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437672995 PECOS PAC ID: 4789092750 Enrollment ID: I20221214001395 |
| Provider Name | Manuel Alberto Batlle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225559347 PECOS PAC ID: 4789057431 Enrollment ID: I20230301000132 |
| Provider Name | Ahmad Elghoroury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053979260 PECOS PAC ID: 0840525010 Enrollment ID: I20230406000980 |
| Provider Name | Fernando Jumalon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700846201 PECOS PAC ID: 7113970187 Enrollment ID: I20230412003280 |
| Provider Name | Yasser Martull Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588292825 PECOS PAC ID: 4385000793 Enrollment ID: I20230509002654 |
| Provider Name | Javeria Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275816878 PECOS PAC ID: 3577829167 Enrollment ID: I20230607003746 |
| Provider Name | Asif Amin Kabani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598394561 PECOS PAC ID: 3870950520 Enrollment ID: I20230612001267 |
| Provider Name | Kevin Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649808270 PECOS PAC ID: 3971960667 Enrollment ID: I20230612002386 |
| Provider Name | Yolanda S Maldonado Alba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417576224 PECOS PAC ID: 7214398817 Enrollment ID: I20230730000051 |
| Provider Name | Elizabeth Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033634910 PECOS PAC ID: 5092194787 Enrollment ID: I20230804002100 |
| Provider Name | Lester Alejandro Rios Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366071284 PECOS PAC ID: 9436510468 Enrollment ID: I20230807002159 |
| Provider Name | Amir Sharafi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669091229 PECOS PAC ID: 6608238779 Enrollment ID: I20230822001702 |
| Provider Name | Amanda Arinze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285255620 PECOS PAC ID: 7416311360 Enrollment ID: I20230912001357 |
| Provider Name | Annum Zulfiqar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033798715 PECOS PAC ID: 2668816422 Enrollment ID: I20240220002811 |
| Provider Name | Angel Riveron Leyva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821679721 PECOS PAC ID: 6709227564 Enrollment ID: I20240509004070 |
Family Med Choice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18356 Nw 47th Ave, Miami Gardens, FL 33055 Phone: 305-620-7155 | |
Medcare Centers, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4767 Nw 183rd St, Miami Gardens, FL 33055 Phone: 305-266-2929 Fax: 786-558-0242 | |
Jessie Trice Community Health System Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20612 Nw 27th Ave, Miami Gardens, FL 33056 Phone: 305-637-6400 Fax: 305-805-1715 | |
Ciartes Medical Center Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18350 Nw 2nd Ave Ste 622, Miami Gardens, FL 33169 Phone: 786-985-4752 | |
Aaron Medical Group Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19509 Nw 57th Ave, Miami Gardens, FL 33055 Phone: 754-465-3003 Fax: 866-552-0934 | |
Spetro And Associates Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Nw 183rd St, Miami Gardens, FL 33169 Phone: 786-230-3577 | |
Alive And Well Community Partners Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18425 Nw 2nd Ave 5th Floor Ph 7, Miami Gardens, FL 33169 Phone: 800-434-1366 |