| Jose Orcasita-ng, Llc | |
|
7000 W 12th Ave Unit 21-22 Hialeah FL 33014-5154 | |
| (305) 362-9560 | |
| (305) 827-1581 |
| Full Name | Jose Orcasita-ng, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7000 W 12th Ave Unit 21-22, Hialeah, Florida |
| Authorized Official Name and Position | Joseph N De Vera (COO) |
| Authorized Official Contact | 3056498100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Orcasita-ng, Llc 1000 Nw 57th Ct Ste 400 Miami FL 33126-3292 Ph: (305) 649-8100 | Jose Orcasita-ng, Llc 7000 W 12th Ave Unit 21-22 Hialeah FL 33014-5154 Ph: (305) 362-9560 |
| NPI Number | 1902515810 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 11/18/2022 |
| Medicare PECOS PAC ID | 0042683088 |
|---|---|
| Medicare Enrollment ID | O20230222002193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902515810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lilian C Garcia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437101318 PECOS PAC ID: 9931101938 Enrollment ID: I20070205000176 |
| Provider Name | Jose A Orcasita Ng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508837964 PECOS PAC ID: 2961488838 Enrollment ID: I20100505000899 |
| Provider Name | Ernesto Enrique |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336620665 PECOS PAC ID: 2365780608 Enrollment ID: I20190213000397 |
| Provider Name | Alicia M Rodriguez Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891337341 PECOS PAC ID: 2860800364 Enrollment ID: I20210422000705 |
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