| L.s.l Medical Center, Inc | |
|
4640 W Flagler St Coral Gables FL 33134-1513 | |
| (305) 443-8229 | |
| (305) 443-8230 |
| Full Name | L.s.l Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4640 W Flagler St, Coral Gables, Florida |
| Authorized Official Name and Position | Osmel Martinez (VP) |
| Authorized Official Contact | 3054438229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L.s.l Medical Center, Inc 7175 Sw 8th St Ste 213 Miami FL 33144-4674 Ph: (305) 443-8229 | L.s.l Medical Center, Inc 4640 W Flagler St Coral Gables FL 33134-1513 Ph: (305) 443-8229 |
| NPI Number | 1861738197 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6305079815 |
|---|---|
| Medicare Enrollment ID | O20140508000890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861738197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC8617 (Florida) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Rodolfo Hanabergh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003859315 PECOS PAC ID: 2365417607 Enrollment ID: I20040901000068 |
| Provider Name | Robertson Baptista |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295835502 PECOS PAC ID: 4688699671 Enrollment ID: I20051010000115 |
| Provider Name | Judith Mayans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982746350 PECOS PAC ID: 9436333531 Enrollment ID: I20110526000787 |
| Provider Name | Nelson Perez Mateu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053645457 PECOS PAC ID: 3870723505 Enrollment ID: I20140225002172 |
| Provider Name | Peter H Hanna |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023465903 PECOS PAC ID: 0840554507 Enrollment ID: I20180503002361 |
| Provider Name | Rafael Ramon Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073197794 PECOS PAC ID: 4486054871 Enrollment ID: I20210607000456 |
| Provider Name | Bledar Haxhiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629538442 PECOS PAC ID: 6002141223 Enrollment ID: I20211111000385 |
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