| Jhc Md Inc | |
|
3663 S Miami Ave Miami FL 33133-4253 | |
| (305) 854-4400 | |
| Not Available |
| Full Name | Jhc Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3663 S Miami Ave, Miami, Florida |
| Authorized Official Name and Position | Jorge Hernandez Canciobello (MD/OWNER) |
| Authorized Official Contact | 7875659062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jhc Md Inc Po Box 960183 Miami FL 33296-0183 Ph: () - | Jhc Md Inc 3663 S Miami Ave Miami FL 33133-4253 Ph: (305) 854-4400 |
| NPI Number | 1770273070 |
|---|---|
| Provider Enumeration Date | 05/10/2023 |
| Last Update Date | 05/10/2023 |
| Medicare PECOS PAC ID | 2466812086 |
|---|---|
| Medicare Enrollment ID | O20230714000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770273070 | NPI | - | NPPES |
| 116203500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jorge Hernandez Canciobello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619438710 PECOS PAC ID: 0840668851 Enrollment ID: I20221123000936 |
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