| Palazzo Health Care Clinic Llc | |
|
12540 Sw 8th St Miami FL 33184-1412 | |
| (305) 772-6119 | |
| Not Available |
| Full Name | Palazzo Health Care Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12540 Sw 8th St, Miami, Florida |
| Authorized Official Name and Position | Chavelis Morales (PRESIDENT) |
| Authorized Official Contact | 3057726119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palazzo Health Care Clinic Llc 12540 Sw 8th St Miami FL 33184-1412 Ph: (305) 772-6119 | Palazzo Health Care Clinic Llc 12540 Sw 8th St Miami FL 33184-1412 Ph: (305) 772-6119 |
| NPI Number | 1326634270 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 11/08/2024 |
| Medicare PECOS PAC ID | 5597153916 |
|---|---|
| Medicare Enrollment ID | O20211103002434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326634270 | NPI | - | NPPES |
| Provider Name | Rogelio Iglesias |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1619913878 PECOS PAC ID: 0446236822 Enrollment ID: I20040626000020 |
| Provider Name | Pedro A Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881015071 PECOS PAC ID: 9234362807 Enrollment ID: I20140506001162 |
| Provider Name | Roberto Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902149727 PECOS PAC ID: 7113232554 Enrollment ID: I20150814012827 |
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