| Juan A Dorado Md | |
|
11750 Sw 40th St Miami FL 33175-3530 | |
| (305) 631-2485 | |
| Not Available |
| Full Name | Juan A Dorado Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 11750 Sw 40th St, Miami, Florida |
| Authorized Official Name and Position | Juan Dorado (OWNER) |
| Authorized Official Contact | 7864736332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan A Dorado Md 10750 Westwood Lake Dr Miami FL 33165-7050 Ph: () - | Juan A Dorado Md 11750 Sw 40th St Miami FL 33175-3530 Ph: (305) 631-2485 |
| NPI Number | 1376297879 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Medicare PECOS PAC ID | 8426443722 |
|---|---|
| Medicare Enrollment ID | O20220324000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376297879 | NPI | - | NPPES |
| 106160900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Juan Antonio Dorado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407389380 PECOS PAC ID: 5890065726 Enrollment ID: I20200429000784 |
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