| Lucky Medical & Rehabilitation Center Corp | |
|
6001 W Flagler St Ste 100 Miami FL 33144-3212 | |
| (786) 953-4685 | |
| (786) 953-4934 |
| Full Name | Lucky Medical & Rehabilitation Center Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 6001 W Flagler St Ste 100, Miami, Florida |
| Authorized Official Name and Position | Maria Karla Perera (PRESIDENT) |
| Authorized Official Contact | 7869534685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucky Medical & Rehabilitation Center Corp 6001 W Flagler St Ste 100 Miami FL 33144-3212 Ph: (786) 953-4685 | Lucky Medical & Rehabilitation Center Corp 6001 W Flagler St Ste 100 Miami FL 33144-3212 Ph: (786) 953-4685 |
| NPI Number | 1558014472 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 04/02/2024 |
| Medicare PECOS PAC ID | 2466848569 |
|---|---|
| Medicare Enrollment ID | O20220329001541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558014472 | NPI | - | NPPES |
| Provider Name | Gerardo Minsal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982606117 PECOS PAC ID: 5496777104 Enrollment ID: I20051222000026 |
| Provider Name | Rosa Martinez Montes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144812066 PECOS PAC ID: 6608263397 Enrollment ID: I20220427002666 |
| Provider Name | Diego A Blanco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518542042 PECOS PAC ID: 0345628616 Enrollment ID: I20220528000211 |
| Provider Name | Yannier Ferrer Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962909358 PECOS PAC ID: 1850772260 Enrollment ID: I20220718000115 |
| Provider Name | Iraisy Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013628833 PECOS PAC ID: 1850766965 Enrollment ID: I20230403001902 |
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