Marios Health Care Llc | |
24830 Sw 122nd Pl Homestead FL 33032-8123 | |
(305) 785-7833 | |
Not Available |
Full Name | Marios Health Care Llc |
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Speciality | Clinic/Center |
Location | 24830 Sw 122nd Pl, Homestead, Florida |
Authorized Official Name and Position | Mario Amaury Cartaya Diaz (OWNER) |
Authorized Official Contact | 3057857833 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marios Health Care Llc 24830 Sw 122nd Pl Homestead FL 33032-8123 Ph: () - | Marios Health Care Llc 24830 Sw 122nd Pl Homestead FL 33032-8123 Ph: (305) 785-7833 |
NPI Number | 1316651078 |
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Provider Enumeration Date | 01/09/2023 |
Last Update Date | 01/09/2023 |
Medicare PECOS PAC ID | 9234500547 |
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Medicare Enrollment ID | O20230125000283 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316651078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Mario Amaury Cartaya Diaz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932669504 PECOS PAC ID: 6901219252 Enrollment ID: I20210106002192 |
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