| Iriarte Primary Care, Inc | |
|
1840 W 49th St Ste 425 Hialeah FL 33012-2978 | |
| (305) 982-7914 | |
| Not Available |
| Full Name | Iriarte Primary Care, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1840 W 49th St Ste 425, Hialeah, Florida |
| Authorized Official Name and Position | Manrique Oscar Iriarte (PRESIDENT) |
| Authorized Official Contact | 3059827914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iriarte Primary Care, Inc 429 Nw 130th Ave Miami FL 33182-1143 Ph: (305) 781-4815 | Iriarte Primary Care, Inc 1840 W 49th St Ste 425 Hialeah FL 33012-2978 Ph: (305) 982-7914 |
| NPI Number | 1922433739 |
|---|---|
| Provider Enumeration Date | 09/11/2013 |
| Last Update Date | 06/05/2023 |
| Medicare PECOS PAC ID | 5991939753 |
|---|---|
| Medicare Enrollment ID | O20131009001856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922433739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME116904 (Florida) | Primary |
| Provider Name | Manrique O Iriarte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003096587 PECOS PAC ID: 1052326170 Enrollment ID: I20131010000150 |
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