Passqual Health | |
18300 Nw 62nd Ave Ste 210 Miami Gardens FL 33015-8207 | |
(786) 677-9922 | |
(844) 895-3066 |
Full Name | Passqual Health |
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Speciality | Family Medicine |
Location | 18300 Nw 62nd Ave Ste 210, Miami Gardens, Florida |
Authorized Official Name and Position | Hendry Perez Pascual (CEO, PRESIDENT) |
Authorized Official Contact | 3058985440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Passqual Health 18300 Nw 62nd Ave Ste 210 Miami Gardens FL 33015-8207 Ph: (786) 677-9922 | Passqual Health 18300 Nw 62nd Ave Ste 210 Miami Gardens FL 33015-8207 Ph: (786) 677-9922 |
NPI Number | 1427677319 |
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Provider Enumeration Date | 04/10/2020 |
Last Update Date | 01/25/2023 |
Medicare PECOS PAC ID | 2264848290 |
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Medicare Enrollment ID | O20210317000077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427677319 | NPI | - | NPPES |
112158400 | Medicaid | FL |
Provider Name | Arlenis Barroso Perez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902291925 PECOS PAC ID: 1456610526 Enrollment ID: I20201008000956 |
Provider Name | Hendry J Perez Pascual |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437577012 PECOS PAC ID: 1658642384 Enrollment ID: I20201022000064 |
Provider Name | Martha Garcia Miranda |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629743059 PECOS PAC ID: 0648667048 Enrollment ID: I20220504001600 |
Provider Name | Eyder Piorno Hernandez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164184461 PECOS PAC ID: 3173910478 Enrollment ID: I20220504001722 |
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