| Primenet Medical Group Inc | |
|
7189 Pembroke Rd Pembroke Pines FL 33023 | |
| (954) 983-1220 | |
| (954) 983-0687 |
| Full Name | Primenet Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7189 Pembroke Rd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Maggie Torres (ADMINISTRATOR) |
| Authorized Official Contact | 9549831220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primenet Medical Group Inc 7189 Pembroke Rd Pembroke Pines FL 33023 Ph: (954) 983-1220 | Primenet Medical Group Inc 7189 Pembroke Rd Pembroke Pines FL 33023 Ph: (954) 983-1220 |
| NPI Number | 1427014158 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 03/16/2011 |
| Medicare PECOS PAC ID | 5890699300 |
|---|---|
| Medicare Enrollment ID | O20031125000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427014158 | NPI | - | NPPES |
| 003094200 | Medicaid | FL | |
| 370428900 | Medicaid | FL | |
| 045341200 | Medicaid | FL | |
| 254724400 | Medicaid | FL | |
| 277531000 | Medicaid | FL | |
| 259691100 | Medicaid | FL | |
| 370428901 | Medicaid | FL | |
| 370428902 | Medicaid | FL | |
| 037965400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lesbia Mendez-irizarry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588708242 PECOS PAC ID: 4183722846 Enrollment ID: I20070605000232 |
| Provider Name | Francisco A Albites |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568687093 PECOS PAC ID: 7315011665 Enrollment ID: I20080804000630 |
| Provider Name | Rekha M Pandya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366453136 PECOS PAC ID: 6901854082 Enrollment ID: I20091209000538 |
| Provider Name | Louis F Casado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154303444 PECOS PAC ID: 3779478268 Enrollment ID: I20131202000886 |
| Provider Name | David Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831516236 PECOS PAC ID: 3779894878 Enrollment ID: I20171227001981 |
| Provider Name | Lezzie Sanchez Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366738627 PECOS PAC ID: 4880993617 Enrollment ID: I20190307000962 |
| Provider Name | Ingrid H Cervera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275149338 PECOS PAC ID: 2365862679 Enrollment ID: I20201026000523 |
| Provider Name | Rene D Sifontes Mejias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295134591 PECOS PAC ID: 2264810324 Enrollment ID: I20220601000964 |
| Provider Name | Midiala Suarez Chapado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871205435 PECOS PAC ID: 2961876024 Enrollment ID: I20230831002239 |
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