| Manuel A Ojeda Md Pa | |
|
4351 Royal Palm Ave Miami Beach FL 33140-3018 | |
| (305) 861-5196 | |
| (305) 468-6258 |
| Full Name | Manuel A Ojeda Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4351 Royal Palm Ave, Miami Beach, Florida |
| Authorized Official Name and Position | Manuel Antonio Ojeda (PRESIDENT) |
| Authorized Official Contact | 3058615196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel A Ojeda Md Pa 4351 Royal Palm Ave Miami Beach FL 33140-3018 Ph: (305) 861-5196 | Manuel A Ojeda Md Pa 4351 Royal Palm Ave Miami Beach FL 33140-3018 Ph: (305) 861-5196 |
| NPI Number | 1326032533 |
|---|---|
| Provider Enumeration Date | 09/01/2005 |
| Last Update Date | 01/21/2010 |
| Medicare PECOS PAC ID | 0547261760 |
|---|---|
| Medicare Enrollment ID | O20070514000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326032533 | NPI | - | NPPES |
| 263465101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME83761 (Florida) | Primary |
| Provider Name | Manuel A Ojeda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952333775 PECOS PAC ID: 6103848338 Enrollment ID: I20051230000491 |
| Provider Name | Pavel Costa-armas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336340298 PECOS PAC ID: 3870662562 Enrollment ID: I20080521000405 |
| Provider Name | Belarmino Parra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194952374 PECOS PAC ID: 2668526617 Enrollment ID: I20090811000227 |
| Provider Name | Urairong Rattanakorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104018589 PECOS PAC ID: 7315023942 Enrollment ID: I20100909001161 |
| Provider Name | Eileen Shields Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124537402 PECOS PAC ID: 6406119528 Enrollment ID: I20180424000538 |
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