| Preventive Health Inc | |
|
8040 Nw 95th St Suite 331-332 Hialeah Gardens FL 33016-2362 | |
| (305) 819-1110 | |
| Not Available |
| Full Name | Preventive Health Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8040 Nw 95th St, Hialeah Gardens, Florida |
| Authorized Official Name and Position | Carlos Lorenzo Rodriguez (OWNER) |
| Authorized Official Contact | 3058191110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive Health Inc 8040 Nw 95th St Suite 331-332 Hialeah Gardens FL 33016-2362 Ph: (305) 819-1110 | Preventive Health Inc 8040 Nw 95th St Suite 331-332 Hialeah Gardens FL 33016-2362 Ph: (305) 819-1110 |
| NPI Number | 1912262791 |
|---|---|
| Provider Enumeration Date | 07/09/2012 |
| Last Update Date | 07/09/2012 |
| Medicare PECOS PAC ID | 7416102124 |
|---|---|
| Medicare Enrollment ID | O20130304000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912262791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME106903 (Florida) | Primary |
| Provider Name | Carlos L Rodriguez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699079202 PECOS PAC ID: 4486837507 Enrollment ID: I20110328000747 |
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