| Las Marias Medical Center Llc | |
|
91461 Overseas Hwy Tavernier FL 33070-2514 | |
| (305) 440-2277 | |
| Not Available |
| Full Name | Las Marias Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 91461 Overseas Hwy, Tavernier, Florida |
| Authorized Official Name and Position | Guillermo Llorente (PRESIDENT) |
| Authorized Official Contact | 7862607459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Marias Medical Center Llc 91461 Overseas Hwy Tavernier FL 33070-2514 Ph: (305) 440-2277 | Las Marias Medical Center Llc 91461 Overseas Hwy Tavernier FL 33070-2514 Ph: (305) 440-2277 |
| NPI Number | 1891488680 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 6305287954 |
|---|---|
| Medicare Enrollment ID | O20240514000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891488680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Miguel Javier Menendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316436272 PECOS PAC ID: 5698189066 Enrollment ID: I20210126001016 |
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