| Heal Pro Medical Llc | |
|
6777 Nw 7th Ave Miami FL 33150-4100 | |
| (786) 697-1623 | |
| (786) 697-1624 |
| Full Name | Heal Pro Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6777 Nw 7th Ave, Miami, Florida |
| Authorized Official Name and Position | Michael Alonso (OWNER) |
| Authorized Official Contact | 7866971623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heal Pro Medical Llc 6777 Nw 7th Ave Miami FL 33150-4100 Ph: (786) 697-1623 | Heal Pro Medical Llc 6777 Nw 7th Ave Miami FL 33150-4100 Ph: (786) 697-1623 |
| NPI Number | 1255105102 |
|---|---|
| Provider Enumeration Date | 11/10/2023 |
| Last Update Date | 11/10/2023 |
| Medicare PECOS PAC ID | 2961854898 |
|---|---|
| Medicare Enrollment ID | O20240117000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255105102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Gustavo Martinez Tapia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225074057 PECOS PAC ID: 5395790786 Enrollment ID: I20050318000180 |
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