| Family Medicine Home Visits Inc | |
|
1898 Sw 27th Ave Ste 1 Miami FL 33145-2445 | |
| (305) 447-8777 | |
| Not Available |
| Full Name | Family Medicine Home Visits Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1898 Sw 27th Ave Ste 1, Miami, Florida |
| Authorized Official Name and Position | Henry Paez (PRESIDENT) |
| Authorized Official Contact | 3054478777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Home Visits Inc 1898 Sw 27th Ave Ste 1 Miami FL 33145-2445 Ph: (305) 447-8777 | Family Medicine Home Visits Inc 1898 Sw 27th Ave Ste 1 Miami FL 33145-2445 Ph: (305) 447-8777 |
| NPI Number | 1902301658 |
|---|---|
| Provider Enumeration Date | 03/26/2018 |
| Last Update Date | 03/26/2018 |
| Medicare PECOS PAC ID | 4183972151 |
|---|---|
| Medicare Enrollment ID | O20180807003888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902301658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Henry Elias Paez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093790313 PECOS PAC ID: 2062316151 Enrollment ID: I20031120000794 |
| Provider Name | Alvis J Linares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710386446 PECOS PAC ID: 5193038057 Enrollment ID: I20150721001684 |
| Provider Name | Jany Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841735636 PECOS PAC ID: 0840554549 Enrollment ID: I20180504001053 |
| Provider Name | Fernando I Marroquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649723875 PECOS PAC ID: 9335487248 Enrollment ID: I20190218002635 |
| Provider Name | Idalberto J Tejeda Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639657471 PECOS PAC ID: 4587902465 Enrollment ID: I20190219002635 |
| Provider Name | Victor Simon Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336710482 PECOS PAC ID: 9739582362 Enrollment ID: I20211202001224 |
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