| Domus Care Solutions | |
|
2200 N Commerce Pkwy Ste 200 Weston FL 33326-3258 | |
| (718) 406-4896 | |
| (954) 529-2001 |
| Full Name | Domus Care Solutions |
|---|---|
| Speciality | Internal Medicine |
| Location | 2200 N Commerce Pkwy Ste 200, Weston, Florida |
| Authorized Official Name and Position | Rafael Osvaldo Hernandez Lora (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7184064896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Domus Care Solutions 2200 N Commerce Pkwy Ste 200 Weston FL 33326-3258 Ph: () - | Domus Care Solutions 2200 N Commerce Pkwy Ste 200 Weston FL 33326-3258 Ph: (718) 406-4896 |
| NPI Number | 1285264093 |
|---|---|
| Provider Enumeration Date | 01/21/2020 |
| Last Update Date | 01/21/2020 |
| Medicare PECOS PAC ID | 7618398033 |
|---|---|
| Medicare Enrollment ID | O20200610001590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285264093 | NPI | - | NPPES |
| IHBP9 | Other | FL | FLORIDABLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Rafael Hernandez Lora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689914814 PECOS PAC ID: 9830319268 Enrollment ID: I20141006002111 |
| Provider Name | Rosemarie Goris-hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306253240 PECOS PAC ID: 5698094928 Enrollment ID: I20150507001143 |
| Provider Name | Andrea Lynn Entus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528664372 PECOS PAC ID: 8022421197 Enrollment ID: I20210108002483 |
| Provider Name | Greeyten Teresa Marrero Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780157768 PECOS PAC ID: 1759797202 Enrollment ID: I20210308001060 |
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