| Hialeah Medical Associates, Inc. | |
|
8074 Nw 103rd St Suite 20 Hialeah Gardens FL 33016-2256 | |
| (305) 826-4307 | |
| (305) 826-6790 |
| Full Name | Hialeah Medical Associates, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 8074 Nw 103rd St, Hialeah Gardens, Florida |
| Authorized Official Name and Position | Heidi Gonzalez (PRESIDENT) |
| Authorized Official Contact | 3058264307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hialeah Medical Associates, Inc. 8074 Nw 103rd St Suite 20 Hialeah Gardens FL 33016-2256 Ph: (305) 826-4307 | Hialeah Medical Associates, Inc. 8074 Nw 103rd St Suite 20 Hialeah Gardens FL 33016-2256 Ph: (305) 826-4307 |
| NPI Number | 1104984236 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 04/12/2014 |
| Medicare PECOS PAC ID | 2062446404 |
|---|---|
| Medicare Enrollment ID | O20050924000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104984236 | NPI | - | NPPES |
| 374769700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Noel E Lezama |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275693137 PECOS PAC ID: 5799708731 Enrollment ID: I20060105000438 |
| Provider Name | Hiala Maday Compta Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902394521 PECOS PAC ID: 5193062347 Enrollment ID: I20190125000136 |
| Provider Name | Jennifer Posada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225591381 PECOS PAC ID: 4688900517 Enrollment ID: I20190730001831 |
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