| Family Medicine Of Miami,p.a. | |
|
9485 Sw 72nd St A-104 Miami FL 33173-3242 | |
| (305) 270-1142 | |
| (305) 270-1151 |
| Full Name | Family Medicine Of Miami,p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 9485 Sw 72nd St, Miami, Florida |
| Authorized Official Name and Position | Jose Alejandro Gomez-rivera (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3052701142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Miami,p.a. 9485 Sw 72nd St A-104 Miami FL 33173-3242 Ph: (305) 270-1142 | Family Medicine Of Miami,p.a. 9485 Sw 72nd St A-104 Miami FL 33173-3242 Ph: (305) 270-1142 |
| NPI Number | 1134235807 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 07/13/2012 |
| Medicare PECOS PAC ID | 0749473130 |
|---|---|
| Medicare Enrollment ID | O20101018001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134235807 | NPI | - | NPPES |
| 378322700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS6658 (Florida) | Primary |
| Provider Name | Jose A Gomez Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447366299 PECOS PAC ID: 7315926698 Enrollment ID: I20040719001522 |
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