| New Life Medical Research Center Inc | |
|
3750 W 16th Ave Ste 226u Hialeah FL 33012-4648 | |
| (786) 360-3750 | |
| Not Available |
| Full Name | New Life Medical Research Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3750 W 16th Ave Ste 226u, Hialeah, Florida |
| Authorized Official Name and Position | Reymundo Silva (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7865083521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Medical Research Center Inc 3750 W 16th Ave Ste 226u Hialeah FL 33012-4648 Ph: (786) 360-3750 | New Life Medical Research Center Inc 3750 W 16th Ave Ste 226u Hialeah FL 33012-4648 Ph: (786) 360-3750 |
| NPI Number | 1851988158 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 12/22/2020 |
| Medicare PECOS PAC ID | 6709290919 |
|---|---|
| Medicare Enrollment ID | O20210129001936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851988158 | NPI | - | NPPES |
| 11007600 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Reymundo Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750751137 PECOS PAC ID: 9739503293 Enrollment ID: I20200717000144 |
| Provider Name | Jose Luis Victorero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235742776 PECOS PAC ID: 1850784711 Enrollment ID: I20220217000816 |
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