| Miami Dade Medical Research Institute Llc | |
|
8955 Sw 87th Ct Ste 112 Miami FL 33176-2264 | |
| (305) 722-7210 | |
| (786) 513-5923 |
| Full Name | Miami Dade Medical Research Institute Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8955 Sw 87th Ct Ste 112, Miami, Florida |
| Authorized Official Name and Position | Onelia Fajardo (PRESIDENT) |
| Authorized Official Contact | 3057227210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Dade Medical Research Institute Llc 8955 Sw 87th Ct Ste 112 Miami FL 33176-2264 Ph: (305) 722-7210 | Miami Dade Medical Research Institute Llc 8955 Sw 87th Ct Ste 112 Miami FL 33176-2264 Ph: (305) 722-7210 |
| NPI Number | 1003536095 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 08/30/2022 |
| Medicare PECOS PAC ID | 5799160107 |
|---|---|
| Medicare Enrollment ID | O20220921003238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003536095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR1100X | Clinic/center - Research | (* (Not Available)) | Secondary |
| Provider Name | Orlando A Puente |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811976459 PECOS PAC ID: 4183695851 Enrollment ID: I20040804001883 |
| Provider Name | Lariza Ferrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386241743 PECOS PAC ID: 7214344712 Enrollment ID: I20210330000840 |
| Provider Name | Manuel Rivero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740944453 PECOS PAC ID: 2769688274 Enrollment ID: I20220617001732 |
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