| Miami Medical Center | |
|
8356 Sw 40th St Ste A Miami FL 33155-3356 | |
| (305) 390-2729 | |
| (305) 676-6628 |
| Full Name | Miami Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 8356 Sw 40th St Ste A, Miami, Florida |
| Authorized Official Name and Position | Marissa Palacios (MANAGER) |
| Authorized Official Contact | 3053902729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Medical Center 8356 Sw 40th St Ste A Miami FL 33155-3356 Ph: (305) 390-2729 | Miami Medical Center 8356 Sw 40th St Ste A Miami FL 33155-3356 Ph: (305) 390-2729 |
| NPI Number | 1356883557 |
|---|---|
| Provider Enumeration Date | 11/06/2016 |
| Last Update Date | 07/18/2024 |
| Medicare PECOS PAC ID | 3173886462 |
|---|---|
| Medicare Enrollment ID | O20180419002138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356883557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Oscar J Dominguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134203599 PECOS PAC ID: 8426022344 Enrollment ID: I20040825000510 |
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