| Molina's Medical Center Llc | |
|
5600 Sw 135th Ave Ste 205 Miami FL 33183-5101 | |
| (305) 603-9261 | |
| (305) 603-9283 |
| Full Name | Molina's Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5600 Sw 135th Ave Ste 205, Miami, Florida |
| Authorized Official Name and Position | Luis Mario Molina (MGR) |
| Authorized Official Contact | 7862942772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Molina's Medical Center Llc 5600 Sw 135th Ave Ste 205 Miami FL 33183-5101 Ph: (305) 603-9261 | Molina's Medical Center Llc 5600 Sw 135th Ave Ste 205 Miami FL 33183-5101 Ph: (305) 603-9261 |
| NPI Number | 1245061746 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Medicare PECOS PAC ID | 6305378738 |
|---|---|
| Medicare Enrollment ID | O20241010001203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245061746 | NPI | - | NPPES |
| Provider Name | Luis Mario Molina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003116286 PECOS PAC ID: 0547655565 Enrollment ID: I20220309002115 |
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