| Related Medical Group Inc | |
|
633 N Krome Ave Ste 1 Homestead FL 33030-6043 | |
| (305) 763-4007 | |
| (305) 847-0764 |
| Full Name | Related Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 633 N Krome Ave Ste 1, Homestead, Florida |
| Authorized Official Name and Position | Rafael Ramon Fernandez (OWNER/ APRN) |
| Authorized Official Contact | 7863264240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Related Medical Group Inc 633 N Krome Ave Ste 1 Homestead FL 33030-6043 Ph: (305) 763-4007 | Related Medical Group Inc 633 N Krome Ave Ste 1 Homestead FL 33030-6043 Ph: (305) 763-4007 |
| NPI Number | 1619634136 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 02/25/2022 |
| Medicare PECOS PAC ID | 2365836467 |
|---|---|
| Medicare Enrollment ID | O20220307002615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619634136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jose C Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669515730 PECOS PAC ID: 8325959117 Enrollment ID: I20031113000680 |
| Provider Name | Rafael Ramon Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073197794 PECOS PAC ID: 4486054871 Enrollment ID: I20210607000456 |
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