| Juan Jesus Salina Md Corp | |
|
4212 W 16th Ave Hialeah FL 33012-7629 | |
| (305) 821-5525 | |
| (786) 342-6017 |
| Full Name | Juan Jesus Salina Md Corp |
|---|---|
| Speciality | General Practice |
| Location | 4212 W 16th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Juan Jesus Salina (MD) |
| Authorized Official Contact | 3058215525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Jesus Salina Md Corp 4212 W 16th Ave Hialeah FL 33012-7629 Ph: (305) 821-5525 | Juan Jesus Salina Md Corp 4212 W 16th Ave Hialeah FL 33012-7629 Ph: (305) 821-5525 |
| NPI Number | 1598190431 |
|---|---|
| Provider Enumeration Date | 09/11/2013 |
| Last Update Date | 12/06/2013 |
| Medicare PECOS PAC ID | 7012143993 |
|---|---|
| Medicare Enrollment ID | O20131125000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598190431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Juan J Salina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104836287 PECOS PAC ID: 9739174871 Enrollment ID: I20040417000401 |
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