Digestive & Liver Disease Consultants Of South Florida Pa | |
7369 Sheridan St Ste 300 Hollywood FL 33024-2776 | |
(954) 451-5932 | |
(954) 949-4351 |
Full Name | Digestive & Liver Disease Consultants Of South Florida Pa |
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Speciality | Internal Medicine |
Location | 7369 Sheridan St Ste 300, Hollywood, Florida |
Authorized Official Name and Position | John Manuel Rivas (MEDICAL DIRECTOR /OWNER) |
Authorized Official Contact | 9544515932 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Digestive & Liver Disease Consultants Of South Florida Pa 7369 Sheridan St Ste 300 Hollywood FL 33024-2776 Ph: (954) 451-5932 | Digestive & Liver Disease Consultants Of South Florida Pa 7369 Sheridan St Ste 300 Hollywood FL 33024-2776 Ph: (954) 451-5932 |
NPI Number | 1548711344 |
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Provider Enumeration Date | 10/18/2016 |
Last Update Date | 05/24/2019 |
Medicare PECOS PAC ID | 6507143385 |
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Medicare Enrollment ID | O20170503002668 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548711344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | ME118726 (Florida) | Primary |
261QE0800X | Clinic/center - Endoscopy | (* (Not Available)) | Secondary |
Provider Name | John Manuel Rivas |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1831412360 PECOS PAC ID: 3274758271 Enrollment ID: I20151030002131 |
Provider Name | Carlos J Romero Marrero |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1194936757 PECOS PAC ID: 3779638911 Enrollment ID: I20201029000602 |
Provider Name | Jose L Gonzalez Martinez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467711325 PECOS PAC ID: 1850522988 Enrollment ID: I20211011001923 |
Provider Name | Patricia Garcia Chiroles |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912361155 PECOS PAC ID: 0345534277 Enrollment ID: I20240117004454 |
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