Roberto B. Llantada, Md Pa | |
3831 Palm Ave Hialeah FL 33012-4445 | |
(305) 557-0092 | |
(305) 557-0450 |
Full Name | Roberto B. Llantada, Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 3831 Palm Ave, Hialeah, Florida |
Authorized Official Name and Position | Maria Victoria Garcia (OFFICE MANAGER) |
Authorized Official Contact | 3055570092 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Roberto B. Llantada, Md Pa 3831 Palm Ave Hialeah FL 33012-4445 Ph: (305) 557-0092 | Roberto B. Llantada, Md Pa 3831 Palm Ave Hialeah FL 33012-4445 Ph: (305) 557-0092 |
NPI Number | 1225522899 |
---|---|
Provider Enumeration Date | 06/18/2018 |
Last Update Date | 06/18/2018 |
Medicare PECOS PAC ID | 8527391820 |
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Medicare Enrollment ID | O20190530002736 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225522899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME103123 (Florida) | Primary |
Provider Name | Roberto B Llantada |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487899720 PECOS PAC ID: 3779636022 Enrollment ID: I20090901000527 |
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