| Integrity Clinical Medical Center Inc | |
|
7590 Nw 186 St Suite 209 Miami FL 33015 | |
| (786) 953-6263 | |
| (786) 953-6891 |
| Full Name | Integrity Clinical Medical Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 7590 Nw 186 St Suite 209, Miami, Florida |
| Authorized Official Name and Position | Carlos Maza (PRESIDENT) |
| Authorized Official Contact | 7869536263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Clinical Medical Center Inc 7590 Nw 186 St Suite 209 Miami FL 33015 Ph: (786) 953-6263 | Integrity Clinical Medical Center Inc 7590 Nw 186 St Suite 209 Miami FL 33015 Ph: (786) 953-6263 |
| NPI Number | 1922697150 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 08/23/2022 |
| Medicare PECOS PAC ID | 1658786835 |
|---|---|
| Medicare Enrollment ID | O20210222000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922697150 | NPI | - | NPPES |
| Provider Name | Carlos Maza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811509961 PECOS PAC ID: 5799103958 Enrollment ID: I20200921001101 |
| Provider Name | Edgardo B. Penabad |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063512960 PECOS PAC ID: 3072957166 Enrollment ID: I20240402002387 |
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