| Humanity Medical Center Llc | |
|
2170 W 68th St Hialeah FL 33016-1876 | |
| (786) 402-0072 | |
| Not Available |
| Full Name | Humanity Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2170 W 68th St, Hialeah, Florida |
| Authorized Official Name and Position | Lizandra Rivero (MANAGER MEMBER) |
| Authorized Official Contact | 7864020072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humanity Medical Center Llc 2170 W 68th St Hialeah FL 33016-1876 Ph: (786) 402-0072 | Humanity Medical Center Llc 2170 W 68th St Hialeah FL 33016-1876 Ph: (786) 402-0072 |
| NPI Number | 1487112736 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 06/10/2024 |
| Medicare PECOS PAC ID | 0042542854 |
|---|---|
| Medicare Enrollment ID | O20191029000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487112736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shazia Zafar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053522862 PECOS PAC ID: 3476526633 Enrollment ID: I20081028000855 |
| Provider Name | Mario Alberto Jimenez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225353766 PECOS PAC ID: 9739334376 Enrollment ID: I20130305000069 |
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