| Diamond Health Medical Care Center Inc | |
|
14505 Commerce Way Suite 750 Miami Lakes FL 33016-1597 | |
| (305) 362-9989 | |
| (305) 362-1355 |
| Full Name | Diamond Health Medical Care Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 14505 Commerce Way, Miami Lakes, Florida |
| Authorized Official Name and Position | Guillermo Ortega (PRESIDENT) |
| Authorized Official Contact | 3053629989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diamond Health Medical Care Center Inc 14505 Commerce Way Suite 750 Miami Lakes FL 33016-1597 Ph: (305) 362-9989 | Diamond Health Medical Care Center Inc 14505 Commerce Way Suite 750 Miami Lakes FL 33016-1597 Ph: (305) 362-9989 |
| NPI Number | 1346431426 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 06/16/2010 |
| Medicare PECOS PAC ID | 1456400977 |
|---|---|
| Medicare Enrollment ID | O20090512000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346431426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carmen B Gomez-abrue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841217379 PECOS PAC ID: 7012829823 Enrollment ID: I20040528000411 |
| Provider Name | Consuelo Cortes Padilla |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760430474 PECOS PAC ID: 0345251559 Enrollment ID: I20060531000063 |
| Provider Name | Patricia Adriana Ares-romero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902823719 PECOS PAC ID: 0648256362 Enrollment ID: I20130322000300 |
| Provider Name | Thelma Monterroso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265786545 PECOS PAC ID: 5193950418 Enrollment ID: I20131022001759 |
| Provider Name | Wendy Marquina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982833166 PECOS PAC ID: 2860787835 Enrollment ID: I20160830001324 |
| Provider Name | Grecia Roncancio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295286870 PECOS PAC ID: 5294001749 Enrollment ID: I20171027000663 |
| Provider Name | Maylin Ferrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467953877 PECOS PAC ID: 6709141286 Enrollment ID: I20180604002839 |
| Provider Name | Azucena Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841662392 PECOS PAC ID: 1254480064 Enrollment ID: I20191203000566 |
| Provider Name | Yusley Couceiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841785565 PECOS PAC ID: 4789097684 Enrollment ID: I20210115000060 |
| Provider Name | Edelis Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689380354 PECOS PAC ID: 1254705304 Enrollment ID: I20230313002585 |
| Provider Name | Leodanis Np Rodriguez Tornes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558139188 PECOS PAC ID: 0648614982 Enrollment ID: I20240214004381 |
| Provider Name | Dileimy Sanchez Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417725177 PECOS PAC ID: 3779927967 Enrollment ID: I20240215001922 |
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