| Mi Tierra Medical Group Corp | |
|
14221 Sw 120th St Ste 221 Miami FL 33186-4225 | |
| (786) 238-7492 | |
| (786) 690-2296 |
| Full Name | Mi Tierra Medical Group Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 14221 Sw 120th St Ste 221, Miami, Florida |
| Authorized Official Name and Position | Joan Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7862383054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Tierra Medical Group Corp 14221 Sw 120th St Ste 221 Miami FL 33186-4225 Ph: (786) 238-7492 | Mi Tierra Medical Group Corp 14221 Sw 120th St Ste 221 Miami FL 33186-4225 Ph: (786) 238-7492 |
| NPI Number | 1790455053 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 04/19/2024 |
| Medicare PECOS PAC ID | 0042669004 |
|---|---|
| Medicare Enrollment ID | O20231215001878 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790455053 | NPI | - | NPPES |
| Provider Name | Tanzeela Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194039610 PECOS PAC ID: 6608018064 Enrollment ID: I20130814000452 |
| Provider Name | Yanet Perez Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437846037 PECOS PAC ID: 2264884667 Enrollment ID: I20240122003334 |
Miami Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15806 Sw 98th St, Miami, FL 33196 Phone: 305-586-9812 | |
Medserve Of Dade County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15328 Nw 7th Ave, Miami, FL 33169 Phone: 786-235-0103 Fax: 305-681-5620 | |
Ontime Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7392 Nw 35th Ter, 306, Miami, FL 33122 Phone: 786-331-7886 | |
Dagmar Lemus Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Nw 14th St, Suite 303, Miami, FL 33125 Phone: 305-548-4005 Fax: 305-548-4055 | |
Midway Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8360 W Flagler St, Suite 100, Miami, FL 33144 Phone: 305-554-7200 Fax: 305-554-8173 | |
Mario L Nunez M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9075 Sw 87th Ave, Suite#414, Miami, FL 33176 Phone: 305-596-9800 Fax: 305-596-9808 | |
Alberto Iglesias Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7801 Coral Way, Suite 125, Miami, FL 33155 Phone: 305-266-1183 |