| Priority Family Health | |
|
12311 Taft St Pembroke Pines FL 33026-4384 | |
| (305) 720-1191 | |
| Not Available |
| Full Name | Priority Family Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 12311 Taft St, Pembroke Pines, Florida |
| Authorized Official Name and Position | Yanely Pineiro Puebla (PRESIDENT) |
| Authorized Official Contact | 3057201191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Priority Family Health 12311 Taft St Ste 1 Pembroke Pines FL 33026-4384 Ph: (954) 487-1516 | Priority Family Health 12311 Taft St Pembroke Pines FL 33026-4384 Ph: (305) 720-1191 |
| NPI Number | 1306366992 |
|---|---|
| Provider Enumeration Date | 06/23/2017 |
| Last Update Date | 12/05/2017 |
| Medicare PECOS PAC ID | 6608126958 |
|---|---|
| Medicare Enrollment ID | O20180906002084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306366992 | NPI | - | NPPES |
| 016072800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME119291 (Florida) | Primary |
| Provider Name | Yanely Md Pineiro Puebla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750702189 PECOS PAC ID: 4183947575 Enrollment ID: I20141215002342 |
| Provider Name | Reynold Duarte Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881977155 PECOS PAC ID: 2062731573 Enrollment ID: I20150505002435 |
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