Rodolfo Gutierrez-alsina Md Pa | |
2387 W 68th St Ste 401 Hialeah FL 33016-6890 | |
(305) 325-8587 | |
(305) 325-8589 |
Full Name | Rodolfo Gutierrez-alsina Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 2387 W 68th St Ste 401, Hialeah, Florida |
Authorized Official Name and Position | Rodolfo Gutierrez-alsina (PRESIDENT) |
Authorized Official Contact | 3053258587 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rodolfo Gutierrez-alsina Md Pa 2387 W 68th St Ste 401 Hialeah FL 33016-6890 Ph: (305) 325-8587 | Rodolfo Gutierrez-alsina Md Pa 2387 W 68th St Ste 401 Hialeah FL 33016-6890 Ph: (305) 325-8587 |
NPI Number | 1770500860 |
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Provider Enumeration Date | 07/16/2006 |
Last Update Date | 01/04/2018 |
Medicare PECOS PAC ID | 0042274326 |
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Medicare Enrollment ID | O20041116000983 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770500860 | NPI | - | NPPES |
K4306 | Other | FL | MEDICARE PTAN |
DB8102 | Other | FL | RAILFORD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME51217 (Florida) | Secondary |
207RN0300X | Internal Medicine - Nephrology | ME51217 (Florida) | Primary |
Provider Name | Rodolfo Gutierrez-alsina |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1922025014 PECOS PAC ID: 5294714994 Enrollment ID: I20041116001031 |
Provider Name | Jacqueline Freire |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730107111 PECOS PAC ID: 4981673605 Enrollment ID: I20110713000665 |
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