| Henry E Paez M D P A | |
|
1898 Sw 27th Ave Suite #1 Miami FL 33145-2445 | |
| (305) 447-8777 | |
| (305) 447-8126 |
| Full Name | Henry E Paez M D P A |
|---|---|
| Speciality | Family Medicine |
| Location | 1898 Sw 27th Ave, Miami, Florida |
| Authorized Official Name and Position | Henry E Paez (OWNER) |
| Authorized Official Contact | 3054478777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry E Paez M D P A 3125 Day Avenue Miami FL 33133 Ph: (305) 447-8777 | Henry E Paez M D P A 1898 Sw 27th Ave Suite #1 Miami FL 33145-2445 Ph: (305) 447-8777 |
| NPI Number | 1649310491 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2567553720 |
|---|---|
| Medicare Enrollment ID | O20070802000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649310491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME81996 (Florida) | Primary |
| Provider Name | Henry Elias Paez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093790313 PECOS PAC ID: 2062316151 Enrollment ID: I20031120000794 |
| Provider Name | Fernando I Marroquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649723875 PECOS PAC ID: 9335487248 Enrollment ID: I20190218002635 |
| Provider Name | Idalberto J Tejeda Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639657471 PECOS PAC ID: 4587902465 Enrollment ID: I20190219002635 |
| Provider Name | Victor Simon Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336710482 PECOS PAC ID: 9739582362 Enrollment ID: I20211202001224 |
| Provider Name | Yanisleidy Nunez Baez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144962655 PECOS PAC ID: 1658603824 Enrollment ID: I20220602000433 |
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