| Erick Unlimited Ii, Llc | |
|
875 E 41st St Hialeah FL 33013-2453 | |
| (786) 477-2391 | |
| Not Available |
| Full Name | Erick Unlimited Ii, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 875 E 41st St, Hialeah, Florida |
| Authorized Official Name and Position | Erick Castro (PRES, OWNER) |
| Authorized Official Contact | 7864772391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erick Unlimited Ii, Llc 875 E 41st St Hialeah FL 33013-2453 Ph: (786) 477-2391 | Erick Unlimited Ii, Llc 875 E 41st St Hialeah FL 33013-2453 Ph: (786) 477-2391 |
| NPI Number | 1063143287 |
|---|---|
| Provider Enumeration Date | 06/20/2022 |
| Last Update Date | 06/20/2022 |
| Medicare PECOS PAC ID | 3971989922 |
|---|---|
| Medicare Enrollment ID | O20220929000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063143287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Marisol D Casas Buchillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003328600 PECOS PAC ID: 7012271851 Enrollment ID: I20180503000869 |
| Provider Name | Enrique Solis Lafont |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023476140 PECOS PAC ID: 6507110038 Enrollment ID: I20181119002378 |
| Provider Name | Jorge Casas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215284773 PECOS PAC ID: 4688040165 Enrollment ID: I20221025002044 |
| Provider Name | William Suarez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780636605 PECOS PAC ID: 8527136332 Enrollment ID: I20221101000675 |
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