| Integral Medicine Group Inc | |
|
7500 Sw 8th St Suite 303 Miami FL 33144-4400 | |
| (305) 885-3111 | |
| (305) 885-5884 |
| Full Name | Integral Medicine Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7500 Sw 8th St, Miami, Florida |
| Authorized Official Name and Position | Humberto Hernandez (OWNER) |
| Authorized Official Contact | 3058853111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Medicine Group Inc Po Box 111570 Hialeah FL 33011-1570 Ph: (305) 885-3111 | Integral Medicine Group Inc 7500 Sw 8th St Suite 303 Miami FL 33144-4400 Ph: (305) 885-3111 |
| NPI Number | 1992716310 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 09/26/2011 |
| Medicare PECOS PAC ID | 2567495815 |
|---|---|
| Medicare Enrollment ID | O20050916000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992716310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Humberto J Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689647869 PECOS PAC ID: 7618953985 Enrollment ID: I20040628000256 |
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