| Millenium Medical Group | |
|
2740 Sw 97th Ave Suite Number A-111 Miami FL 33165-3316 | |
| (786) 332-4330 | |
| (786) 332-4109 |
| Full Name | Millenium Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2740 Sw 97th Ave, Miami, Florida |
| Authorized Official Name and Position | Damarys Suarez (ADMINISTRATOR) |
| Authorized Official Contact | 3056130798 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Millenium Medical Group 2740 Sw 97th Ave Ste A-111 Miami FL 33165-2681 Ph: (786) 332-4330 | Millenium Medical Group 2740 Sw 97th Ave Suite Number A-111 Miami FL 33165-3316 Ph: (786) 332-4330 |
| NPI Number | 1629585906 |
|---|---|
| Provider Enumeration Date | 01/08/2018 |
| Last Update Date | 09/09/2021 |
| Medicare PECOS PAC ID | 1355604877 |
|---|---|
| Medicare Enrollment ID | O20180416002781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629585906 | NPI | - | NPPES |
| Provider Name | Norine Rosado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326347964 PECOS PAC ID: 8224255237 Enrollment ID: I20140815000742 |
| Provider Name | Carlos A Ripoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558751099 PECOS PAC ID: 7214034404 Enrollment ID: I20151014001048 |
| Provider Name | Amauri J Quintana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114398146 PECOS PAC ID: 8123323482 Enrollment ID: I20160224001100 |
| Provider Name | Claudia D Ferreiro |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144684309 PECOS PAC ID: 0840584033 Enrollment ID: I20160810002952 |
| Provider Name | Juan P Nunez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255869491 PECOS PAC ID: 3274877535 Enrollment ID: I20181128000835 |
| Provider Name | Jorge Jorge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366949737 PECOS PAC ID: 9537564687 Enrollment ID: I20210827000257 |
| Provider Name | Lisandra De La Hilda Garcia Serrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639883036 PECOS PAC ID: 4082064860 Enrollment ID: I20231219003402 |
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