| Digestive Medicine Associates | |
|
2140 W 68th St Suite 300 Hialeah FL 33016-1815 | |
| (305) 822-4107 | |
| (305) 822-5086 |
| Full Name | Digestive Medicine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 2140 W 68th St, Hialeah, Florida |
| Authorized Official Name and Position | Francisco Maderal (OWNER/OPERATOR) |
| Authorized Official Contact | 3058224108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Medicine Associates 2140 W 68th St Suite 305 Hialeah FL 33016-1815 Ph: (305) 822-4107 | Digestive Medicine Associates 2140 W 68th St Suite 300 Hialeah FL 33016-1815 Ph: (305) 822-4107 |
| NPI Number | 1700867488 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 04/15/2024 |
| Medicare PECOS PAC ID | 3779510102 |
|---|---|
| Medicare Enrollment ID | O20050718000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700867488 | NPI | - | NPPES |
| 39853 | Other | FL | BCBS # |
| 372736000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Jeff O Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548241169 PECOS PAC ID: 0345231650 Enrollment ID: I20040524000864 |
| Provider Name | Joel Kertznus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487639308 PECOS PAC ID: 8022067941 Enrollment ID: I20080308000085 |
| Provider Name | Francisco Maderal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861470551 PECOS PAC ID: 5597792721 Enrollment ID: I20110706000469 |
| Provider Name | Victor Padilla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518955020 PECOS PAC ID: 3274634118 Enrollment ID: I20110707000103 |
| Provider Name | Jose Martinez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508853490 PECOS PAC ID: 8820199763 Enrollment ID: I20110720000525 |
| Provider Name | Jorge D Castaneda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457332074 PECOS PAC ID: 6002917945 Enrollment ID: I20111206000323 |
| Provider Name | John Ibarra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063464865 PECOS PAC ID: 4284646720 Enrollment ID: I20130611000153 |
| Provider Name | Maibys Molina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033526140 PECOS PAC ID: 2264743749 Enrollment ID: I20150624003166 |
| Provider Name | Juan Pablo Blum Guzman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104056860 PECOS PAC ID: 4183945025 Enrollment ID: I20160628001565 |
| Provider Name | Isel Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437519014 PECOS PAC ID: 8921388950 Enrollment ID: I20161209000919 |
| Provider Name | Diane Garrido-tancredi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528424868 PECOS PAC ID: 4486938735 Enrollment ID: I20170304000188 |
| Provider Name | Nilda Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568978377 PECOS PAC ID: 8820134901 Enrollment ID: I20180409001303 |
| Provider Name | Vanessa Mendez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497021331 PECOS PAC ID: 3678828175 Enrollment ID: I20180625003312 |
| Provider Name | Nelson Alfonso Santana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346754561 PECOS PAC ID: 0749536571 Enrollment ID: I20190124003231 |
| Provider Name | Massiel Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730784935 PECOS PAC ID: 3173912177 Enrollment ID: I20211112001518 |
| Provider Name | Patricia Planas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154072288 PECOS PAC ID: 4082007026 Enrollment ID: I20220215001369 |
| Provider Name | Heidy Dorta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225797715 PECOS PAC ID: 8527454628 Enrollment ID: I20220329001147 |
| Provider Name | Alejandro J Forcelledo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164992632 PECOS PAC ID: 8123405446 Enrollment ID: I20220506000639 |
| Provider Name | Onix Cesar Garib |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003268715 PECOS PAC ID: 7517338551 Enrollment ID: I20230130001434 |
| Provider Name | Cristian Stephan Franceschi Torres |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871207191 PECOS PAC ID: 0749645141 Enrollment ID: I20230508000235 |
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