| Diazgarcia Newlife Medihospitalgroup Inc | |
|
14001 Nw 82nd Ave Miami Lakes FL 33016-1561 | |
| (786) 609-9200 | |
| Not Available |
| Full Name | Diazgarcia Newlife Medihospitalgroup Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 14001 Nw 82nd Ave, Miami Lakes, Florida |
| Authorized Official Name and Position | Ileana Diaz Garcia (OWNER) |
| Authorized Official Contact | 7867680009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diazgarcia Newlife Medihospitalgroup Inc 10619 W 33rd Ct Hialeah FL 33018-2116 Ph: (786) 768-0009 | Diazgarcia Newlife Medihospitalgroup Inc 14001 Nw 82nd Ave Miami Lakes FL 33016-1561 Ph: (786) 609-9200 |
| NPI Number | 1588445258 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/10/2023 |
| Medicare PECOS PAC ID | 6507214798 |
|---|---|
| Medicare Enrollment ID | O20231129000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588445258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ileana Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073179693 PECOS PAC ID: 2567838501 Enrollment ID: I20221017002675 |
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