| Japh Medical Group Inc | |
|
7600 W 20th Ave Ste 112 Hialeah FL 33016-1895 | |
| (305) 557-0000 | |
| (305) 557-0000 |
| Full Name | Japh Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7600 W 20th Ave Ste 112, Hialeah, Florida |
| Authorized Official Name and Position | Jose Antonio Prieto-hernandez (PRESIDENT) |
| Authorized Official Contact | 9542026322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Japh Medical Group Inc 7600 W 20th Ave Ste 112 Hialeah FL 33016-1895 Ph: (305) 557-0000 | Japh Medical Group Inc 7600 W 20th Ave Ste 112 Hialeah FL 33016-1895 Ph: (305) 557-0000 |
| NPI Number | 1659477123 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/03/2020 |
| Medicare PECOS PAC ID | 2961679949 |
|---|---|
| Medicare Enrollment ID | O20120113000493 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659477123 | NPI | - | NPPES |
| ME0054503 | Other | FL | MEDICAL DOCTOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0054503 (Florida) | Primary |
| Provider Name | Jose A Prieto-hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972535979 PECOS PAC ID: 7517900913 Enrollment ID: I20050608000255 |
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