La Clinica Latina Inc | |
1070 Sw 1st St Miami FL 33130-1009 | |
(305) 545-0055 | |
(305) 545-0066 |
Full Name | La Clinica Latina Inc |
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Speciality | General Practice |
Location | 1070 Sw 1st St, Miami, Florida |
Authorized Official Name and Position | Alejandro F Ferras (PRESIDENT) |
Authorized Official Contact | 3055450055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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La Clinica Latina Inc 1070 Sw 1st St Miami FL 33130-1009 Ph: (305) 545-0055 | La Clinica Latina Inc 1070 Sw 1st St Miami FL 33130-1009 Ph: (305) 545-0055 |
NPI Number | 1104954668 |
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Provider Enumeration Date | 02/28/2007 |
Last Update Date | 04/20/2009 |
Medicare PECOS PAC ID | 5698822625 |
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Medicare Enrollment ID | O20090409000078 |
Identifier | Type | State | Issuer |
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1104954668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | HCC5379 (Florida) | Primary |
Provider Name | Alejandro F Ferras |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962432302 PECOS PAC ID: 6800841255 Enrollment ID: I20050317000980 |
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