| |
291 Sw 27th Ave Miami FL 33135-1401 | |
(305) 858-1828 | |
(305) 856-6786 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 291 Sw 27th Ave, Miami, Florida |
Authorized Official Name and Position | Carlos De Solo (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3056498100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1000 Nw 57th Ct Ste 400 Miami FL 33126-3292 Ph: (305) 649-8100 | 291 Sw 27th Ave Miami FL 33135-1401 Ph: (305) 858-1828 |
NPI Number | 1144543216 |
---|---|
Provider Enumeration Date | 03/03/2010 |
Last Update Date | 08/15/2024 |
Medicare PECOS PAC ID | 2961686951 |
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Medicare Enrollment ID | O20110415000674 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144543216 | NPI | - | NPPES |
008705003 | Medicaid | FL | |
EU039B | Other | FL | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Florida) | Primary |
Provider Name | Vandely G Perez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003848268 PECOS PAC ID: 3274599717 Enrollment ID: I20041206001119 |
Provider Name | Nilda R Acosta |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1689617920 PECOS PAC ID: 8921043142 Enrollment ID: I20050628000161 |
Provider Name | Jose A Garcia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952394942 PECOS PAC ID: 7618043662 Enrollment ID: I20080827000746 |
Provider Name | Eduardo Quesada |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205026366 PECOS PAC ID: 5092882191 Enrollment ID: I20080915000561 |
Provider Name | Daneel Correa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053587436 PECOS PAC ID: 1052592748 Enrollment ID: I20110301000586 |
Provider Name | Cristina Agostinelli |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720254113 PECOS PAC ID: 0042493991 Enrollment ID: I20110330000582 |
Provider Name | Carla D Fuentes Blanco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972816056 PECOS PAC ID: 0446414312 Enrollment ID: I20120606000420 |
Provider Name | Aileen Andreu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063647014 PECOS PAC ID: 2365607728 Enrollment ID: I20120710000287 |
Provider Name | Jim Torres |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639331093 PECOS PAC ID: 2961636824 Enrollment ID: I20131008000691 |
Provider Name | Julio Ernesto Gutierrez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124366471 PECOS PAC ID: 7012923816 Enrollment ID: I20140321000892 |
Provider Name | Ariel J Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265837348 PECOS PAC ID: 0749507390 Enrollment ID: I20150319002585 |
Provider Name | Roberto Puga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255736336 PECOS PAC ID: 7416274790 Enrollment ID: I20150325001908 |
Provider Name | Enio Reyes Miranda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114237252 PECOS PAC ID: 7911224936 Enrollment ID: I20150331001707 |
Provider Name | Eduardo G Dedos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336544105 PECOS PAC ID: 6406173368 Enrollment ID: I20150402001499 |
Provider Name | Javier Espinal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023326410 PECOS PAC ID: 9638498678 Enrollment ID: I20150424001531 |
Provider Name | Natasha D Cedeno |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154708808 PECOS PAC ID: 7618285438 Enrollment ID: I20150929000187 |
Provider Name | Wilfrance Celestin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649672528 PECOS PAC ID: 5991023129 Enrollment ID: I20151021002782 |
Provider Name | Raciel Quintana |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1700291010 PECOS PAC ID: 9830409861 Enrollment ID: I20151103003214 |
Provider Name | Ernesto Padron |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295968048 PECOS PAC ID: 2264735570 Enrollment ID: I20160120002117 |
Provider Name | Maikel Danger |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1790168920 PECOS PAC ID: 5395053060 Enrollment ID: I20160224001497 |
Provider Name | Odette Mcbride |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609248475 PECOS PAC ID: 8224337803 Enrollment ID: I20160503002074 |
Provider Name | Ivan R Garcia Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043682826 PECOS PAC ID: 9739479270 Enrollment ID: I20160613000240 |
Provider Name | Lorna Cuxart Falcon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659739886 PECOS PAC ID: 9931487071 Enrollment ID: I20161025001628 |
Provider Name | Esneido Almeida Gutierrez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952853467 PECOS PAC ID: 6204118375 Enrollment ID: I20170125000991 |
Provider Name | Dafne L Buznego |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801255153 PECOS PAC ID: 5698050003 Enrollment ID: I20170328000494 |
Provider Name | Amado Saad De La Torre |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1477826824 PECOS PAC ID: 4183906480 Enrollment ID: I20180315001875 |
Provider Name | Yanet Nunez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962930040 PECOS PAC ID: 8325300569 Enrollment ID: I20180327002870 |
Provider Name | Mailen Mendoza Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255797973 PECOS PAC ID: 7315200557 Enrollment ID: I20180420001945 |
Provider Name | Desiree Abraham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265844070 PECOS PAC ID: 3971868258 Enrollment ID: I20180607002851 |
Provider Name | Eneida Torres Alfonso |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1982133138 PECOS PAC ID: 2860749645 Enrollment ID: I20180725001163 |
Provider Name | Sarah Alexandra Theart |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073908000 PECOS PAC ID: 8628365962 Enrollment ID: I20181228001109 |
Provider Name | Venante Isme Servalis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265894653 PECOS PAC ID: 5991041972 Enrollment ID: I20190111001808 |
Provider Name | Ernesto Enrique |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336620665 PECOS PAC ID: 2365780608 Enrollment ID: I20190213000397 |
Provider Name | Gilsis Bocalandro Toro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992228910 PECOS PAC ID: 0941564264 Enrollment ID: I20190222000180 |
Provider Name | Yamirka Sanchez Perez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1346741618 PECOS PAC ID: 6608101753 Enrollment ID: I20190711000514 |
Provider Name | Misael L Gongora Veliz |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1013568484 PECOS PAC ID: 8123450269 Enrollment ID: I20191112001086 |
Provider Name | Jose Guillermo Alvarez Fontes |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1417596669 PECOS PAC ID: 0244661239 Enrollment ID: I20200506002789 |
Provider Name | Marisara Cintron Lorenzo |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912049321 PECOS PAC ID: 8123459443 Enrollment ID: I20200520001807 |
Provider Name | Javier A Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275163842 PECOS PAC ID: 4284056706 Enrollment ID: I20200629002965 |
Provider Name | Fanny N Gonzalez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952840506 PECOS PAC ID: 8426393745 Enrollment ID: I20200817002930 |
Provider Name | Yuliza Chao Cuba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083176838 PECOS PAC ID: 3476971987 Enrollment ID: I20200916000074 |
Provider Name | Gladimar Santiago Cartagena |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376844514 PECOS PAC ID: 6305081985 Enrollment ID: I20201104001962 |
Provider Name | Giselle Leal |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1093322760 PECOS PAC ID: 8022422898 Enrollment ID: I20210208000651 |
Provider Name | Heidy Acosta Infante |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1801305123 PECOS PAC ID: 2062829773 Enrollment ID: I20210325000364 |
Provider Name | Erar Rodriguez Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376135632 PECOS PAC ID: 7618384728 Enrollment ID: I20210407000852 |
Provider Name | Luis C Fernandez Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952978389 PECOS PAC ID: 1254733892 Enrollment ID: I20210706001509 |
Provider Name | Yuliet Paneca Arnaiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881158731 PECOS PAC ID: 3577965037 Enrollment ID: I20210713001524 |
Provider Name | Misley Cabrera Portela |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619435062 PECOS PAC ID: 2264822543 Enrollment ID: I20211130001552 |
Provider Name | Alena Diaz De La Nuez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982002705 PECOS PAC ID: 2264826759 Enrollment ID: I20220226000109 |
Provider Name | Rolando Guerra Iglesias |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255940425 PECOS PAC ID: 6800283060 Enrollment ID: I20220419000671 |
Provider Name | Dalay Vazquez Novoa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700533684 PECOS PAC ID: 8325429160 Enrollment ID: I20220725003270 |
Provider Name | Graciela Verdecia Gonzalez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1336815976 PECOS PAC ID: 1951785369 Enrollment ID: I20220902002577 |
Provider Name | Roberto Cardoso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285040907 PECOS PAC ID: 8527434109 Enrollment ID: I20221024000544 |
Provider Name | Diego Jesus Perez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598908824 PECOS PAC ID: 4284931197 Enrollment ID: I20231228002563 |
Provider Name | Aramis Paz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306511027 PECOS PAC ID: 7416300835 Enrollment ID: I20240201000436 |
Provider Name | Alixier Gonzalez Rivera |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1396239323 PECOS PAC ID: 6204278252 Enrollment ID: I20240522003783 |
Provider Name | Rosario Margarita Sturla Mirabal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619749355 PECOS PAC ID: 0143662676 Enrollment ID: I20240529001771 |
Provider Name | Ronald Victor Emmanuel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053044081 PECOS PAC ID: 7416491931 Enrollment ID: I20240626000064 |
Provider Name | Barbara J Jaime |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053139527 PECOS PAC ID: 5890934301 Enrollment ID: I20241118000996 |
Miami Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15806 Sw 98th St, Miami, FL 33196 Phone: 305-586-9812 | |
Medserve Of Dade County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15328 Nw 7th Ave, Miami, FL 33169 Phone: 786-235-0103 Fax: 305-681-5620 | |
Ontime Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7392 Nw 35th Ter, 306, Miami, FL 33122 Phone: 786-331-7886 | |
Dagmar Lemus Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Nw 14th St, Suite 303, Miami, FL 33125 Phone: 305-548-4005 Fax: 305-548-4055 | |
Midway Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8360 W Flagler St, Suite 100, Miami, FL 33144 Phone: 305-554-7200 Fax: 305-554-8173 | |
Mario L Nunez M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9075 Sw 87th Ave, Suite#414, Miami, FL 33176 Phone: 305-596-9800 Fax: 305-596-9808 | |
Alberto Iglesias Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7801 Coral Way, Suite 125, Miami, FL 33155 Phone: 305-266-1183 |