| Felix Varela Medical Clinic, Inc | |
|
3335 W 4th Ave Hialeah FL 33012-4360 | |
| (305) 263-0922 | |
| Not Available |
| Full Name | Felix Varela Medical Clinic, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3335 W 4th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Luis F Felipe (OWNER) |
| Authorized Official Contact | 3052998375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Felix Varela Medical Clinic, Inc 3335 W 4th Ave Hialeah FL 33012-4360 Ph: (305) 263-0922 | Felix Varela Medical Clinic, Inc 3335 W 4th Ave Hialeah FL 33012-4360 Ph: (305) 263-0922 |
| NPI Number | 1134535453 |
|---|---|
| Provider Enumeration Date | 07/08/2014 |
| Last Update Date | 07/08/2014 |
| Medicare PECOS PAC ID | 3779800164 |
|---|---|
| Medicare Enrollment ID | O20150324000844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134535453 | NPI | - | NPPES |
| 531336 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME98893 (Florida) | Primary |
| Provider Name | Luis Felipe Felipe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649339730 PECOS PAC ID: 7416049465 Enrollment ID: I20070822000513 |
| Provider Name | Durvin Gloria Bonome Hermosilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467066407 PECOS PAC ID: 9436509221 Enrollment ID: I20240517003252 |
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