| Medcare Quality Medical Center, Llc | |
|
7200 Nw 7 Street Miami FL 33126 | |
| (305) 266-2929 | |
| (305) 907-6099 |
| Full Name | Medcare Quality Medical Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7200 Nw 7 Street, Miami, Florida |
| Authorized Official Name and Position | Martha Castillo (COO) |
| Authorized Official Contact | 3052662929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcare Quality Medical Center, Llc 8750 Nw 36th Street Suite 300 Doral FL 33178 Ph: (786) 641-5348 | Medcare Quality Medical Center, Llc 7200 Nw 7 Street Miami FL 33126 Ph: (305) 266-2929 |
| NPI Number | 1740560929 |
|---|---|
| Provider Enumeration Date | 08/19/2011 |
| Last Update Date | 06/12/2017 |
| Medicare PECOS PAC ID | 2365663481 |
|---|---|
| Medicare Enrollment ID | O20141014002029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740560929 | NPI | - | NPPES |
| 018775300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Darwin Caraballo-burgos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992734883 PECOS PAC ID: 8325014343 Enrollment ID: I20040909000992 |
| Provider Name | Francisco M Macias |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659324127 PECOS PAC ID: 9436161387 Enrollment ID: I20060615000226 |
| Provider Name | Amanda Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477762839 PECOS PAC ID: 6305994963 Enrollment ID: I20090508000267 |
| Provider Name | Enrique E Vazquez Escarpanter |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083729677 PECOS PAC ID: 4981684529 Enrollment ID: I20090519000444 |
| Provider Name | Rosendo E Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578688784 PECOS PAC ID: 5991854143 Enrollment ID: I20090519000524 |
| Provider Name | Mario Alberto Jimenez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225353766 PECOS PAC ID: 9739334376 Enrollment ID: I20130305000069 |
| Provider Name | Carolina J Arguello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598078917 PECOS PAC ID: 9032343033 Enrollment ID: I20131007000528 |
| Provider Name | Manuel Lam |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1801239439 PECOS PAC ID: 4981827151 Enrollment ID: I20140516000764 |
| Provider Name | Hector L Morier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053716043 PECOS PAC ID: 9436477650 Enrollment ID: I20150417001033 |
| Provider Name | Miriam E Enriquez Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831589647 PECOS PAC ID: 3779892005 Enrollment ID: I20151027001946 |
| Provider Name | Anisia M Otero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811313190 PECOS PAC ID: 7214258243 Enrollment ID: I20160802001994 |
| Provider Name | Sandra A Fuentefria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841698511 PECOS PAC ID: 0446555916 Enrollment ID: I20160804001451 |
| Provider Name | Madelaine Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457756025 PECOS PAC ID: 9931409554 Enrollment ID: I20160928001485 |
| Provider Name | Akbar Nikfarjam |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649651274 PECOS PAC ID: 4587978929 Enrollment ID: I20161019002470 |
| Provider Name | Yamile Hernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265839781 PECOS PAC ID: 3476831488 Enrollment ID: I20161026001347 |
| Provider Name | Pedro Reimon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780636217 PECOS PAC ID: 0143504753 Enrollment ID: I20170227002508 |
| Provider Name | Izaela Bauza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689030900 PECOS PAC ID: 9537466982 Enrollment ID: I20170328002522 |
| Provider Name | Zaide Laurido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710432315 PECOS PAC ID: 8921375395 Enrollment ID: I20170606003069 |
| Provider Name | Galia Reyes Pino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801297627 PECOS PAC ID: 1456621903 Enrollment ID: I20170717002523 |
| Provider Name | Manuel J Gomez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245274232 PECOS PAC ID: 6204825151 Enrollment ID: I20171208001309 |
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