La Esperanza Medical Centers Inc | |
7911 Nw 72nd Ave Ste 109a-b Medley FL 33166-2227 | |
(305) 887-1005 | |
(305) 887-1092 |
Full Name | La Esperanza Medical Centers Inc |
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Speciality | Family Medicine |
Location | 7911 Nw 72nd Ave Ste 109a-b, Medley, Florida |
Authorized Official Name and Position | Aymee Munero (OWNER) |
Authorized Official Contact | 3058871005 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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La Esperanza Medical Centers Inc 7911 Nw 72nd Ave Ste 109ab Medley FL 33166-2227 Ph: (305) 716-0964 | La Esperanza Medical Centers Inc 7911 Nw 72nd Ave Ste 109a-b Medley FL 33166-2227 Ph: (305) 887-1005 |
NPI Number | 1861636383 |
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Provider Enumeration Date | 04/28/2009 |
Last Update Date | 11/09/2023 |
Medicare PECOS PAC ID | 0941425292 |
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Medicare Enrollment ID | O20140701000453 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861636383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jorge Paoli-bruno |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982601159 PECOS PAC ID: 2466350699 Enrollment ID: I20120726000005 |
Provider Name | Andres B Rabassa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982010989 PECOS PAC ID: 5698081842 Enrollment ID: I20150902001211 |
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