| Miami Family Medical Center Inc | |
|
10146 West Flagler Street Miami FL 33174 | |
| (305) 553-2020 | |
| (305) 553-2010 |
| Full Name | Miami Family Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 10146 West Flagler Street, Miami, Florida |
| Authorized Official Name and Position | Jose Barquero (MANAGER) |
| Authorized Official Contact | 7865865787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Family Medical Center Inc 10146 West Flagler Street Miami FL 33174 Ph: (305) 553-2020 | Miami Family Medical Center Inc 10146 West Flagler Street Miami FL 33174 Ph: (305) 553-2020 |
| NPI Number | 1215029921 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5294837001 |
|---|---|
| Medicare Enrollment ID | O20070226000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215029921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0038894 (Florida) | Primary |
| Provider Name | Ernesto J Matamoros |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639121577 PECOS PAC ID: 2860412491 Enrollment ID: I20051129000110 |
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