| Miguel A Mujica-baella Md Pa | |
|
15590 Sw 42nd Ln Miami FL 33185-4209 | |
| (305) 905-9547 | |
| (786) 513-2700 |
| Full Name | Miguel A Mujica-baella Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 15590 Sw 42nd Ln, Miami, Florida |
| Authorized Official Name and Position | Miguel A Mujica-baella (OWNER) |
| Authorized Official Contact | 3059059547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miguel A Mujica-baella Md Pa 15590 Sw 42nd Ln Miami FL 33185-4209 Ph: (305) 905-9547 | Miguel A Mujica-baella Md Pa 15590 Sw 42nd Ln Miami FL 33185-4209 Ph: (305) 905-9547 |
| NPI Number | 1881252088 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 06/03/2019 |
| Medicare PECOS PAC ID | 6709115496 |
|---|---|
| Medicare Enrollment ID | O20190905001095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881252088 | NPI | - | NPPES |
| 003023100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Miguel A Mujica Baella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962611673 PECOS PAC ID: 7911190954 Enrollment ID: I20101021001367 |
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