| Orive Physician Services Pa | |
|
6816 Sw 89th Ct Miami FL 33173-2430 | |
| (786) 608-2991 | |
| (786) 894-0808 |
| Full Name | Orive Physician Services Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6816 Sw 89th Ct, Miami, Florida |
| Authorized Official Name and Position | Yordan Orive Gomez (AUTHORIZED OFFICAL) |
| Authorized Official Contact | 7866082991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orive Physician Services Pa 6800 Sw 40th St # 457 Miami FL 33155-3708 Ph: (786) 608-2991 | Orive Physician Services Pa 6816 Sw 89th Ct Miami FL 33173-2430 Ph: (786) 608-2991 |
| NPI Number | 1598371064 |
|---|---|
| Provider Enumeration Date | 09/21/2020 |
| Last Update Date | 02/16/2024 |
| Medicare PECOS PAC ID | 2961814793 |
|---|---|
| Medicare Enrollment ID | O20201218001067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598371064 | NPI | - | NPPES |
| ME143347 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yordan Orive Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255872578 PECOS PAC ID: 0143650366 Enrollment ID: I20200430000643 |
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