| Miami Health Community Centers Inc | |
|
2424 Sw 137th Ave Miami FL 33175-6311 | |
| (786) 768-5801 | |
| Not Available |
| Full Name | Miami Health Community Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2424 Sw 137th Ave, Miami, Florida |
| Authorized Official Name and Position | Carmen J. Echizarraga (APRN) |
| Authorized Official Contact | 7867685801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Health Community Centers Inc 2424 Sw 137th Ave Miami FL 33175-6311 Ph: (786) 768-5801 | Miami Health Community Centers Inc 2424 Sw 137th Ave Miami FL 33175-6311 Ph: (786) 768-5801 |
| NPI Number | 1861086035 |
|---|---|
| Provider Enumeration Date | 02/26/2021 |
| Last Update Date | 02/26/2021 |
| Medicare PECOS PAC ID | 4981011640 |
|---|---|
| Medicare Enrollment ID | O20210324001337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861086035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Carmen J Echizarraga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417433624 PECOS PAC ID: 3577801281 Enrollment ID: I20190205000885 |
| Provider Name | Maydibis Blanco Alonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083208599 PECOS PAC ID: 9335525351 Enrollment ID: I20220928003223 |
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