| Premier Medical Center | |
|
1500 Sw 27th Ave Miami FL 33145-2043 | |
| (305) 448-1500 | |
| (305) 448-8681 |
| Full Name | Premier Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 Sw 27th Ave, Miami, Florida |
| Authorized Official Name and Position | Mayra Arguelles (OWNER) |
| Authorized Official Contact | 3054481500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Center 1500 Sw 27th Ave Miami FL 33145-2043 Ph: (305) 448-1500 | Premier Medical Center 1500 Sw 27th Ave Miami FL 33145-2043 Ph: (305) 448-1500 |
| NPI Number | 1295735132 |
|---|---|
| Provider Enumeration Date | 07/21/2005 |
| Last Update Date | 09/17/2015 |
| Medicare PECOS PAC ID | 3274637699 |
|---|---|
| Medicare Enrollment ID | O20070324000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295735132 | NPI | - | NPPES |
| 380201901 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | HCC3895 (Florida) | Primary |
| Provider Name | Ariel Cagigas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255754552 PECOS PAC ID: 4284531641 Enrollment ID: I20140514001953 |
| Provider Name | Odilia Quintana Martel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376028928 PECOS PAC ID: 9739413592 Enrollment ID: I20190627001688 |
| Provider Name | Yagna E Martinez La Fe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245719640 PECOS PAC ID: 6901230663 Enrollment ID: I20200106001258 |
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