| Randolph Borrero Md Pa | |
|
1190 Nw 95th St Ste 205 Miami FL 33150-2064 | |
| (305) 835-7045 | |
| Not Available |
| Full Name | Randolph Borrero Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1190 Nw 95th St Ste 205, Miami, Florida |
| Authorized Official Name and Position | Randolph Borrero (PHYSICIAN) |
| Authorized Official Contact | 3054953578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Borrero Md Pa 2570 Sw 105th Ter Davie FL 33324-7610 Ph: (305) 495-3578 | Randolph Borrero Md Pa 1190 Nw 95th St Ste 205 Miami FL 33150-2064 Ph: (305) 835-7045 |
| NPI Number | 1245826569 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Medicare PECOS PAC ID | 5092116087 |
|---|---|
| Medicare Enrollment ID | O20210629000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245826569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Randolph Thomas Borrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467871863 PECOS PAC ID: 1153620059 Enrollment ID: I20180215000734 |
| Provider Name | Nusrat Rumana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043620388 PECOS PAC ID: 2365716362 Enrollment ID: I20190301000809 |
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