| Nimel Medical Center, Llc | |
|
10821 Nw 27th Ave Miami FL 33167-3407 | |
| (305) 381-0193 | |
| (305) 437-7625 |
| Full Name | Nimel Medical Center, Llc |
|---|---|
| Speciality | General Practice |
| Location | 10821 Nw 27th Ave, Miami, Florida |
| Authorized Official Name and Position | Rafael Perez Gonzalez (PRESIDENT) |
| Authorized Official Contact | 7865164221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nimel Medical Center, Llc 10821 Nw 27th Ave Miami FL 33167-3407 Ph: (305) 381-0193 | Nimel Medical Center, Llc 10821 Nw 27th Ave Miami FL 33167-3407 Ph: (305) 381-0193 |
| NPI Number | 1104396688 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 06/26/2020 |
| Medicare PECOS PAC ID | 7911231279 |
|---|---|
| Medicare Enrollment ID | O20190620002655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104396688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Rafael Perez Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215283908 PECOS PAC ID: 2365713922 Enrollment ID: I20190620002898 |
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