| Hope Clinical Trials Inc | |
|
9100 Sw 24th St Ste 8 Miami FL 33165-2067 | |
| (786) 464-0732 | |
| (786) 464-0741 |
| Full Name | Hope Clinical Trials Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9100 Sw 24th St Ste 8, Miami, Florida |
| Authorized Official Name and Position | Adalberto Portieles (OWNER) |
| Authorized Official Contact | 7864640732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Clinical Trials Inc 9100 Sw 24th St Ste 8 Miami FL 33165-2067 Ph: (786) 464-0732 | Hope Clinical Trials Inc 9100 Sw 24th St Ste 8 Miami FL 33165-2067 Ph: (786) 464-0732 |
| NPI Number | 1366039778 |
|---|---|
| Provider Enumeration Date | 12/31/2020 |
| Last Update Date | 12/31/2020 |
| Medicare PECOS PAC ID | 6709283112 |
|---|---|
| Medicare Enrollment ID | O20210928002799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366039778 | NPI | - | NPPES |
| 12471 | Other | FL | AHCA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose C Pinero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538468202 PECOS PAC ID: 0941422521 Enrollment ID: I20141114001584 |
| Provider Name | Anay Portieles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104345362 PECOS PAC ID: 0244578821 Enrollment ID: I20190206000267 |
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