Mart Medical Group Inc | |
7311 Nw 36th St Unit 7311 Miami FL 33166-6704 | |
(786) 640-0602 | |
(786) 640-0603 |
Full Name | Mart Medical Group Inc |
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Speciality | General Practice |
Location | 7311 Nw 36th St Unit 7311, Miami, Florida |
Authorized Official Name and Position | Roberto Martinez Torres (PRESIDENT) |
Authorized Official Contact | 7866400602 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mart Medical Group Inc 6101 Sw 76th St South Miami FL 33143-5021 Ph: (305) 342-4737 | Mart Medical Group Inc 7311 Nw 36th St Unit 7311 Miami FL 33166-6704 Ph: (786) 640-0602 |
NPI Number | 1801427463 |
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Provider Enumeration Date | 01/31/2020 |
Last Update Date | 04/01/2024 |
Medicare PECOS PAC ID | 9335553825 |
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Medicare Enrollment ID | O20210125000565 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801427463 | NPI | - | NPPES |
1047926 | Other | FL | DCF LICENSE |
NG312 | Other | FL | AHCA |
1047924 | Other | FL | DCF LICENSE |
1047925 | Other | FL | INTENSIVE OUTPATIENT TREATMENT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Rene J Garcia |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316986995 PECOS PAC ID: 9739105867 Enrollment ID: I20051018001158 |
Provider Name | Elizabeth Gonzalez Gonzalez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558038299 PECOS PAC ID: 8325480163 Enrollment ID: I20240524002691 |
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