| Primary Care Physicians Group | |
|
4308 Alton Road Suite 860 Miami Beach FL 33140-2910 | |
| (305) 604-2888 | |
| (305) 604-2887 |
| Full Name | Primary Care Physicians Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 4308 Alton Road, Miami Beach, Florida |
| Authorized Official Name and Position | Robert I Shaffer (PARTNER) |
| Authorized Official Contact | 3056042888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Physicians Group 4308 Alton Road Suite 860 Miami Beach FL 33140-2910 Ph: (305) 604-2888 | Primary Care Physicians Group 4308 Alton Road Suite 860 Miami Beach FL 33140-2910 Ph: (305) 604-2888 |
| NPI Number | 1326103532 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 09/16/2010 |
| Medicare PECOS PAC ID | 3173436474 |
|---|---|
| Medicare Enrollment ID | O20031112000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326103532 | NPI | - | NPPES |
| 262609800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Florida) | Primary |
| Provider Name | Alejandro Delvalle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720080609 PECOS PAC ID: 4981654092 Enrollment ID: I20050126000984 |
| Provider Name | Gary J Merlino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760483192 PECOS PAC ID: 1850564832 Enrollment ID: I20111108000440 |
| Provider Name | Rafael S Yonemura |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568737823 PECOS PAC ID: 3375799786 Enrollment ID: I20120816000921 |
| Provider Name | Jessica Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952543233 PECOS PAC ID: 7517114747 Enrollment ID: I20120823000390 |
| Provider Name | Maykel Rodriguez Trotter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801134465 PECOS PAC ID: 4981835667 Enrollment ID: I20140321000703 |
| Provider Name | Sandy L Zambrano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932515715 PECOS PAC ID: 3779892153 Enrollment ID: I20151026002159 |
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