| Fenix Medical Patners, Llc | |
|
2695 Le Jeune Road Suite 300 Coral Gables FL 33134 | |
| (305) 441-9120 | |
| (305) 441-9432 |
| Full Name | Fenix Medical Patners, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2695 Le Jeune Road, Coral Gables, Florida |
| Authorized Official Name and Position | Eduardo Rubio (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3059290249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenix Medical Patners, Llc 2695 Le Jeune Road Suite 300 Coral Gables FL 33134 Ph: (305) 441-9120 | Fenix Medical Patners, Llc 2695 Le Jeune Road Suite 300 Coral Gables FL 33134 Ph: (305) 441-9120 |
| NPI Number | 1215255187 |
|---|---|
| Provider Enumeration Date | 05/17/2010 |
| Last Update Date | 06/07/2013 |
| Medicare PECOS PAC ID | 9335460898 |
|---|---|
| Medicare Enrollment ID | O20150609001647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215255187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 49908 (Florida) | Primary |
| Provider Name | Julian F Arana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558442368 PECOS PAC ID: 4789581760 Enrollment ID: I20031217000761 |
| Provider Name | Rolando Iglesias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730199092 PECOS PAC ID: 2062447444 Enrollment ID: I20051005000027 |
| Provider Name | Miguel A Serradet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205373859 PECOS PAC ID: 2264585967 Enrollment ID: I20170727003683 |
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