| Maimonides Medical Center Inc. | |
|
1295 S Us Highway 1 Rockledge FL 32955-2732 | |
| (321) 637-6654 | |
| (321) 433-1119 |
| Full Name | Maimonides Medical Center Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1295 S Us Highway 1, Rockledge, Florida |
| Authorized Official Name and Position | Carolina C Sarenas (VICE-PRESIDENT) |
| Authorized Official Contact | 3216376654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maimonides Medical Center Inc. 1295 S Us Highway 1 Rockledge FL 32955-2732 Ph: (321) 637-6654 | Maimonides Medical Center Inc. 1295 S Us Highway 1 Rockledge FL 32955-2732 Ph: (321) 637-6654 |
| NPI Number | 1477514651 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 12/04/2012 |
| Medicare PECOS PAC ID | 2860407046 |
|---|---|
| Medicare Enrollment ID | O20060208000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477514651 | NPI | - | NPPES |
| 379714700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Secondary |
| Provider Name | Carolina C Sarenas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205817434 PECOS PAC ID: 0941215123 Enrollment ID: I20091226000049 |
| Provider Name | German Vergara |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134104078 PECOS PAC ID: 4981739265 Enrollment ID: I20100312000278 |
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