| Key Biscayne Medical Center Inc | |
|
3661 S Miami Ave Ste 510 Miami FL 33133-4200 | |
| (305) 860-1030 | |
| (305) 856-0029 |
| Full Name | Key Biscayne Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3661 S Miami Ave Ste 510, Miami, Florida |
| Authorized Official Name and Position | Ricardo Girala (PRESIDENT) |
| Authorized Official Contact | 3058601030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Biscayne Medical Center Inc Po Box 348447 Coral Gables FL 33234-8447 Ph: (305) 860-1030 | Key Biscayne Medical Center Inc 3661 S Miami Ave Ste 510 Miami FL 33133-4200 Ph: (305) 860-1030 |
| NPI Number | 1902110844 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 01/05/2012 |
| Medicare PECOS PAC ID | 2365631967 |
|---|---|
| Medicare Enrollment ID | O20110113000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902110844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME73731 (Florida) | Primary |
| Provider Name | Ricardo A Girala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417910282 PECOS PAC ID: 0749474070 Enrollment ID: I20110118000669 |
| Provider Name | Marcelino A Galzagorri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124640867 PECOS PAC ID: 7315337151 Enrollment ID: I20211209001088 |
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