| La Familia Medical Center Inc | |
|
2199 W Flagler St Miami FL 33135-1638 | |
| (305) 643-0550 | |
| (305) 643-0551 |
| Full Name | La Familia Medical Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2199 W Flagler St, Miami, Florida |
| Authorized Official Name and Position | Allan J Gutierrez (OWNER) |
| Authorized Official Contact | 3056430550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Familia Medical Center Inc 2199 W Flagler St Miami FL 33135-1638 Ph: (305) 643-0550 | La Familia Medical Center Inc 2199 W Flagler St Miami FL 33135-1638 Ph: (305) 643-0550 |
| NPI Number | 1134673411 |
|---|---|
| Provider Enumeration Date | 08/04/2016 |
| Last Update Date | 10/19/2022 |
| Medicare PECOS PAC ID | 7416282413 |
|---|---|
| Medicare Enrollment ID | O20190712002513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134673411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jorge L Barbeito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073572129 PECOS PAC ID: 3577596568 Enrollment ID: I20050912000078 |
| Provider Name | Amy M Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912315714 PECOS PAC ID: 9830457258 Enrollment ID: I20171212002918 |
| Provider Name | Jose Luis Victorero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235742776 PECOS PAC ID: 1850784711 Enrollment ID: I20220217000816 |
| Provider Name | Silvia L Trana-felipes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366588402 PECOS PAC ID: 6204285430 Enrollment ID: I20231213000314 |
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