| Glez & Glez Medical Center | |
|
3804 Nw 167th St Opa Locka FL 33054-6232 | |
| (305) 624-2700 | |
| (305) 624-3154 |
| Full Name | Glez & Glez Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 3804 Nw 167th St, Opa Locka, Florida |
| Authorized Official Name and Position | Rafael D Gonzalez (ADMINISTRATOR) |
| Authorized Official Contact | 3056242700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glez & Glez Medical Center 3804 Nw 167th St Opa Locka FL 33054-6232 Ph: (305) 624-2700 | Glez & Glez Medical Center 3804 Nw 167th St Opa Locka FL 33054-6232 Ph: (305) 624-2700 |
| NPI Number | 1205937034 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 06/11/2014 |
| Medicare PECOS PAC ID | 7810979283 |
|---|---|
| Medicare Enrollment ID | O20040601001359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205937034 | NPI | - | NPPES |
| 266322800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jorge L Barbeito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073572129 PECOS PAC ID: 3577596568 Enrollment ID: I20050912000078 |
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