| Medicus Medical Group Pllc | |
|
747 Ponce De Leon Blvd Suite 607 Coral Gables FL 33134-2049 | |
| (305) 444-4200 | |
| (305) 444-7290 |
| Full Name | Medicus Medical Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 747 Ponce De Leon Blvd, Coral Gables, Florida |
| Authorized Official Name and Position | Luis S Veras (PRESIDENT) |
| Authorized Official Contact | 3054444200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicus Medical Group Pllc 747 Ponce De Leon Blvd Suite 607 Coral Gables FL 33134-2049 Ph: (305) 444-4200 | Medicus Medical Group Pllc 747 Ponce De Leon Blvd Suite 607 Coral Gables FL 33134-2049 Ph: (305) 444-4200 |
| NPI Number | 1801259908 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Medicare PECOS PAC ID | 1254610611 |
|---|---|
| Medicare Enrollment ID | O20161108001717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801259908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Omar C Gallardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073508636 PECOS PAC ID: 8224091319 Enrollment ID: I20041110000840 |
| Provider Name | Luis S Veras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215013560 PECOS PAC ID: 6800088816 Enrollment ID: I20101008000931 |
| Provider Name | Ricardo A Girala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417910282 PECOS PAC ID: 0749474070 Enrollment ID: I20110118000669 |
| Provider Name | Yadira Jean-louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396266854 PECOS PAC ID: 9830465962 Enrollment ID: I20171017003727 |
| Provider Name | Marcelino A Galzagorri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124640867 PECOS PAC ID: 7315337151 Enrollment ID: I20211209001088 |
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