| Ricardo O. Calonge, Md Pa | |
|
3661 S Miami Ave Suite 401 Miami FL 33133-4236 | |
| (305) 856-9771 | |
| (305) 728-0536 |
| Full Name | Ricardo O. Calonge, Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3661 S Miami Ave, Miami, Florida |
| Authorized Official Name and Position | Ricardo O Calonge (PHYSICIAN) |
| Authorized Official Contact | 3058569771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo O. Calonge, Md Pa 3661 S Miami Ave Suite 401 Miami FL 33133-4236 Ph: (305) 856-9771 | Ricardo O. Calonge, Md Pa 3661 S Miami Ave Suite 401 Miami FL 33133-4236 Ph: (305) 856-9771 |
| NPI Number | 1689066326 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 09/03/2015 |
| Medicare PECOS PAC ID | 9032438882 |
|---|---|
| Medicare Enrollment ID | O20150429002170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689066326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME89807 (Florida) | Primary |
| Provider Name | Ricardo Omar Calonge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992795900 PECOS PAC ID: 0941277800 Enrollment ID: I20040911000092 |
| Provider Name | Nizme Yalilly Meza-ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083069769 PECOS PAC ID: 2668753583 Enrollment ID: I20170106001224 |
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