| Gables Medical Llc | |
|
401 S Le Jeune Rd Ste 300 Coral Gables FL 33134-1938 | |
| (305) 951-9836 | |
| Not Available |
| Full Name | Gables Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 S Le Jeune Rd Ste 300, Coral Gables, Florida |
| Authorized Official Name and Position | Noel Garcia Acosta (PRESIDENT) |
| Authorized Official Contact | 3059519836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gables Medical Llc 401 S Le Jeune Rd Ste 300 Coral Gables FL 33134-1938 Ph: (305) 951-9836 | Gables Medical Llc 401 S Le Jeune Rd Ste 300 Coral Gables FL 33134-1938 Ph: (305) 951-9836 |
| NPI Number | 1417683723 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 07/28/2022 |
| Medicare PECOS PAC ID | 0042693467 |
|---|---|
| Medicare Enrollment ID | O20220818000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417683723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Damian Casadesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366679052 PECOS PAC ID: 6507015864 Enrollment ID: I20121001000313 |
| Provider Name | Ileana Acosta |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932502671 PECOS PAC ID: 1557663234 Enrollment ID: I20160112003044 |
| Provider Name | Noel Garcia Acosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457884868 PECOS PAC ID: 8820369200 Enrollment ID: I20210302001546 |
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