| Penate Medical Center | |
|
8200 Sw 117th Ave Ste 112 Miami FL 33183-4825 | |
| (305) 596-7432 | |
| Not Available |
| Full Name | Penate Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 8200 Sw 117th Ave Ste 112, Miami, Florida |
| Authorized Official Name and Position | Luis Penate-perez (MD) |
| Authorized Official Contact | 3055967432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penate Medical Center 8200 Sw 117th Ave Ste 112 Miami FL 33183-4825 Ph: (305) 596-7432 | Penate Medical Center 8200 Sw 117th Ave Ste 112 Miami FL 33183-4825 Ph: (305) 596-7432 |
| NPI Number | 1568000164 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 02/08/2023 |
| Medicare PECOS PAC ID | 5092186528 |
|---|---|
| Medicare Enrollment ID | O20230120001192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568000164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Luis Penate Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053341214 PECOS PAC ID: 0941200760 Enrollment ID: I20070410000435 |
| Provider Name | Julian Guia-garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558606392 PECOS PAC ID: 3173831328 Enrollment ID: I20151007002822 |
| Provider Name | Miguel A Lima Nieves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710463070 PECOS PAC ID: 8628303815 Enrollment ID: I20190710002040 |
| Provider Name | Jose A Rodriguez Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912583543 PECOS PAC ID: 3274932702 Enrollment ID: I20210602003152 |
| Provider Name | Juan C Fonseca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336860774 PECOS PAC ID: 0547632358 Enrollment ID: I20230203001492 |
| Provider Name | Silvia M Fernandez Bota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376287151 PECOS PAC ID: 7517330343 Enrollment ID: I20230227001368 |
| Provider Name | Yaneiky Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689289043 PECOS PAC ID: 9335512011 Enrollment ID: I20230228000529 |
| Provider Name | Eugenio Espinosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811474240 PECOS PAC ID: 9032578554 Enrollment ID: I20230630002232 |
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