| La Excelencia Medical Center, Llc | |
|
13270 Sw 8th St Miami FL 33184-1178 | |
| (305) 439-4877 | |
| (786) 633-5130 |
| Full Name | La Excelencia Medical Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13270 Sw 8th St, Miami, Florida |
| Authorized Official Name and Position | Mirelys Valdes (CEO) |
| Authorized Official Contact | 3054394877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Excelencia Medical Center, Llc 13270 Sw 8th St Miami FL 33184-1178 Ph: (305) 439-4877 | La Excelencia Medical Center, Llc 13270 Sw 8th St Miami FL 33184-1178 Ph: (305) 439-4877 |
| NPI Number | 1275241093 |
|---|---|
| Provider Enumeration Date | 11/10/2022 |
| Last Update Date | 11/10/2022 |
| Medicare PECOS PAC ID | 6204295777 |
|---|---|
| Medicare Enrollment ID | O20230630000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275241093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Erick Juarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316254493 PECOS PAC ID: 5991952129 Enrollment ID: I20131021000570 |
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