| Executive Health Of Coral Gables Lc | |
|
283 Catalonia Ave Suite 101 Coral Gables FL 33134-6712 | |
| (305) 476-7771 | |
| Not Available |
| Full Name | Executive Health Of Coral Gables Lc |
|---|---|
| Speciality | Internal Medicine |
| Location | 283 Catalonia Ave, Coral Gables, Florida |
| Authorized Official Name and Position | Alberto A Mitrani (MANAGER) |
| Authorized Official Contact | 3054767771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Health Of Coral Gables Lc 283 Catalonia Ave Suite 101 Coral Gables FL 33134-6712 Ph: (305) 476-7771 | Executive Health Of Coral Gables Lc 283 Catalonia Ave Suite 101 Coral Gables FL 33134-6712 Ph: (305) 476-7771 |
| NPI Number | 1639196298 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 10/11/2007 |
| Medicare PECOS PAC ID | 2668569815 |
|---|---|
| Medicare Enrollment ID | O20071105000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639196298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Manuel J Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689659062 PECOS PAC ID: 1355322587 Enrollment ID: I20040525001051 |
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