Latino Medical Center Ii Inc | |
7858 Ne 2nd Ave Miami FL 33138-4805 | |
(305) 879-9526 | |
Not Available |
Full Name | Latino Medical Center Ii Inc |
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Speciality | General Practice |
Location | 7858 Ne 2nd Ave, Miami, Florida |
Authorized Official Name and Position | Rodney Joseph (OWNER) |
Authorized Official Contact | 3058799526 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Latino Medical Center Ii Inc 7858 Ne 2nd Ave Miami FL 33138-4805 Ph: (305) 879-9526 | Latino Medical Center Ii Inc 7858 Ne 2nd Ave Miami FL 33138-4805 Ph: (305) 879-9526 |
NPI Number | 1306396668 |
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Provider Enumeration Date | 10/11/2016 |
Last Update Date | 10/11/2016 |
Medicare PECOS PAC ID | 4789059833 |
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Medicare Enrollment ID | O20230404000469 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306396668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Mario A Delgado-fernandez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275589772 PECOS PAC ID: 6103922299 Enrollment ID: I20070507000373 |
Provider Name | Arnaldo Villafranca |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1205886488 PECOS PAC ID: 0840485876 Enrollment ID: I20101116000423 |
Provider Name | Rene Coto Borges |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1821407826 PECOS PAC ID: 2163707399 Enrollment ID: I20170330000252 |
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