Ritecare Medical Center Llc | |
915 W 49th St Hialeah FL 33012-3412 | |
(305) 200-1225 | |
(305) 200-1225 |
Full Name | Ritecare Medical Center Llc |
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Speciality | Clinic/Center |
Location | 915 W 49th St, Hialeah, Florida |
Authorized Official Name and Position | Kaitlin Boyle (DIRECTOR) |
Authorized Official Contact | 3036015392 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ritecare Medical Center Llc 915 W 49th St Hialeah FL 33012-3412 Ph: (415) 200-2099 | Ritecare Medical Center Llc 915 W 49th St Hialeah FL 33012-3412 Ph: (305) 200-1225 |
NPI Number | 1164407763 |
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Provider Enumeration Date | 12/07/2005 |
Last Update Date | 07/16/2024 |
Medicare PECOS PAC ID | 1052330701 |
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Medicare Enrollment ID | O20051111000111 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164407763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | ME81042 (Florida) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Provider Name | Hossein Joukar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700066586 PECOS PAC ID: 8527959766 Enrollment ID: I20040324001335 |
Provider Name | Marilyn De Leon |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1306074604 PECOS PAC ID: 5799919411 Enrollment ID: I20131014000487 |
Provider Name | Roberto Fernandez |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1043648736 PECOS PAC ID: 3870819105 Enrollment ID: I20150304002037 |
Provider Name | Grivel J Hera Gomez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508281908 PECOS PAC ID: 7810263688 Enrollment ID: I20171023001101 |
Provider Name | Bryan Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295213593 PECOS PAC ID: 4688912140 Enrollment ID: I20190208001734 |
Provider Name | Leslie A Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548752488 PECOS PAC ID: 8325458540 Enrollment ID: I20201029000892 |
Provider Name | Kety Garcia Gonzalez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922631969 PECOS PAC ID: 6204224355 Enrollment ID: I20211022001644 |
Provider Name | Nadav Mor |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1043440639 PECOS PAC ID: 8123241163 Enrollment ID: I20211129001176 |
Provider Name | Yuliet Corrales |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841881646 PECOS PAC ID: 2466842612 Enrollment ID: I20211202002648 |
Provider Name | Andrea S Abbott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588003842 PECOS PAC ID: 9032168174 Enrollment ID: I20220203001100 |
Provider Name | Michael Catausan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932326071 PECOS PAC ID: 0143312694 Enrollment ID: I20220426002963 |
Provider Name | Anaidra Reese |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104476423 PECOS PAC ID: 4587098959 Enrollment ID: I20220927001015 |
Provider Name | Luk-olivier Jean-louis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447911003 PECOS PAC ID: 4587030457 Enrollment ID: I20221018000745 |
Provider Name | Edward C Henson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700330842 PECOS PAC ID: 3577850346 Enrollment ID: I20221026001282 |
Provider Name | Andrew Keyser |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1225442023 PECOS PAC ID: 8921375130 Enrollment ID: I20230117000237 |
Provider Name | Frances T Prado |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700120631 PECOS PAC ID: 1658676218 Enrollment ID: I20230202000021 |
Provider Name | Jennifer Rossi |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1386832442 PECOS PAC ID: 6709073224 Enrollment ID: I20230202000654 |
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