| Miguel Rebollar P.a. | |
|
1435 W 49th Pl Ste 201 Hialeah FL 33012-3147 | |
| (305) 828-4155 | |
| (305) 261-0603 |
| Full Name | Miguel Rebollar P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1435 W 49th Pl Ste 201, Hialeah, Florida |
| Authorized Official Name and Position | Miguel Rebollar (PRESIDENT) |
| Authorized Official Contact | 3058284155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miguel Rebollar P.a. 11229 Nw 2nd St Miami FL 33172-3509 Ph: (305) 828-4155 | Miguel Rebollar P.a. 1435 W 49th Pl Ste 201 Hialeah FL 33012-3147 Ph: (305) 828-4155 |
| NPI Number | 1598094005 |
|---|---|
| Provider Enumeration Date | 12/11/2009 |
| Last Update Date | 12/11/2009 |
| Medicare PECOS PAC ID | 2860521499 |
|---|---|
| Medicare Enrollment ID | O20100520000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598094005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME51316 (Florida) | Primary |
| Provider Name | Miguel A Rebollar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831108729 PECOS PAC ID: 0941280515 Enrollment ID: I20040723000371 |
| Provider Name | Guido Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922578392 PECOS PAC ID: 0547509630 Enrollment ID: I20190307001910 |
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