| Metro Med Service, Llc | |
|
14221 Sw 120th St Ste 129 Miami FL 33186-7236 | |
| (305) 279-1515 | |
| (305) 279-1219 |
| Full Name | Metro Med Service, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14221 Sw 120th St, Miami, Florida |
| Authorized Official Name and Position | Yadira Hernandez (OWNER) |
| Authorized Official Contact | 3052791515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Med Service, Llc 14221 Sw 120th St Ste 129 Miami FL 33186-7236 Ph: (305) 279-1515 | Metro Med Service, Llc 14221 Sw 120th St Ste 129 Miami FL 33186-7236 Ph: (305) 279-1515 |
| NPI Number | 1326328022 |
|---|---|
| Provider Enumeration Date | 08/25/2011 |
| Last Update Date | 09/22/2011 |
| Medicare PECOS PAC ID | 5890034896 |
|---|---|
| Medicare Enrollment ID | O20190311000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326328022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME84841 (Florida) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Katherine Ganem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053749069 PECOS PAC ID: 9335360767 Enrollment ID: I20141028000572 |
| Provider Name | Dannitzah Gil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023478203 PECOS PAC ID: 6507153749 Enrollment ID: I20161003000635 |
| Provider Name | Ramon Toranzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316591274 PECOS PAC ID: 3072948025 Enrollment ID: I20200121001460 |
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