| Med-care Medical Group Inc | |
|
1250 Nw 7th St Ste 102 Miami FL 33125-3744 | |
| (786) 534-3806 | |
| Not Available |
| Full Name | Med-care Medical Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1250 Nw 7th St Ste 102, Miami, Florida |
| Authorized Official Name and Position | Jorge Mario Urra (PRESIDENT) |
| Authorized Official Contact | 3052210660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med-care Medical Group Inc 3010 Sw 102nd Pl Miami FL 33165-2825 Ph: (305) 221-0660 | Med-care Medical Group Inc 1250 Nw 7th St Ste 102 Miami FL 33125-3744 Ph: (786) 534-3806 |
| NPI Number | 1003530882 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 09/27/2022 |
| Medicare PECOS PAC ID | 3375901432 |
|---|---|
| Medicare Enrollment ID | O20230621002732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003530882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Liusva Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538695119 PECOS PAC ID: 9638508468 Enrollment ID: I20200331000390 |
| Provider Name | Adalberto Aguilera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104110386 PECOS PAC ID: 9537227954 Enrollment ID: I20200623001884 |
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