Las Mias Medical Center Inc | |
7575 W Flagler St Fl 2 Miami FL 33144-2470 | |
(305) 448-8557 | |
(305) 448-8570 |
Full Name | Las Mias Medical Center Inc |
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Speciality | Family Medicine |
Location | 7575 W Flagler St Fl 2, Miami, Florida |
Authorized Official Name and Position | Rolando Cruz (OWNER) |
Authorized Official Contact | 3054488557 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Las Mias Medical Center Inc 7575 W Flagler St Fl 2 West Miami FL 33144-2470 Ph: (305) 448-8557 | Las Mias Medical Center Inc 7575 W Flagler St Fl 2 Miami FL 33144-2470 Ph: (305) 448-8557 |
NPI Number | 1710199880 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 04/21/2021 |
Medicare PECOS PAC ID | 9133203052 |
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Medicare Enrollment ID | O20080229000516 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710199880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ramon M Hernandez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1902819113 PECOS PAC ID: 3375513906 Enrollment ID: I20040729001224 |
Provider Name | Jose A Bermudez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447606157 PECOS PAC ID: 0244522100 Enrollment ID: I20190703001589 |
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