One Care Medical Center Inc | |
7171 Sw 24th St Ste 417 Miami FL 33155-1693 | |
(305) 200-3488 | |
Not Available |
Full Name | One Care Medical Center Inc |
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Speciality | Clinic/Center |
Location | 7171 Sw 24th St Ste 417, Miami, Florida |
Authorized Official Name and Position | Anderson Chavez (PRESIDENT) |
Authorized Official Contact | 3052003488 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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One Care Medical Center Inc 7171 Sw 24th St Ste 417 Miami FL 33155-1693 Ph: (305) 200-3488 | One Care Medical Center Inc 7171 Sw 24th St Ste 417 Miami FL 33155-1693 Ph: (305) 200-3488 |
NPI Number | 1033770524 |
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Provider Enumeration Date | 06/25/2019 |
Last Update Date | 05/08/2024 |
Medicare PECOS PAC ID | 0042652620 |
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Medicare Enrollment ID | O20240528003805 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033770524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Otto Marquez Mendoza |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679950695 PECOS PAC ID: 2062720055 Enrollment ID: I20150924000581 |
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