Venaverte Medical Center | |
5341 W 20th Ave Hialeah FL 33012-2100 | |
(786) 541-1882 | |
(786) 542-1846 |
Full Name | Venaverte Medical Center |
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Speciality | General Practice |
Location | 5341 W 20th Ave, Hialeah, Florida |
Authorized Official Name and Position | Javier Puentes (PRESIDENT) |
Authorized Official Contact | 7865421882 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Venaverte Medical Center 5341 W 20th Ave Hialeah FL 33012-2100 Ph: (786) 541-1882 | Venaverte Medical Center 5341 W 20th Ave Hialeah FL 33012-2100 Ph: (786) 541-1882 |
NPI Number | 1437658358 |
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Provider Enumeration Date | 02/06/2018 |
Last Update Date | 04/04/2023 |
Medicare PECOS PAC ID | 8527320647 |
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Medicare Enrollment ID | O20180329000161 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437658358 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ACN806 (Florida) | Primary |
Provider Name | Javier Puentes |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1679946982 PECOS PAC ID: 5698077568 Enrollment ID: I20180329000313 |
Provider Name | Milkys E Gonzalez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437615275 PECOS PAC ID: 9537587316 Enrollment ID: I20200910001009 |
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