| Romulo Clavelo M D P A | |
|
78 Sw 13th Ave Suite 201 Miami FL 33135-2479 | |
| (305) 631-0470 | |
| Not Available |
| Full Name | Romulo Clavelo M D P A |
|---|---|
| Speciality | General Practice |
| Location | 78 Sw 13th Ave, Miami, Florida |
| Authorized Official Name and Position | Romulo Clavelo (PRESIDENT) |
| Authorized Official Contact | 7865435581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Romulo Clavelo M D P A Po Box 402054 Miami Beach FL 33140-0054 Ph: () - | Romulo Clavelo M D P A 78 Sw 13th Ave Suite 201 Miami FL 33135-2479 Ph: (305) 631-0470 |
| NPI Number | 1083847727 |
|---|---|
| Provider Enumeration Date | 08/28/2009 |
| Last Update Date | 07/06/2010 |
| Medicare PECOS PAC ID | 6002931110 |
|---|---|
| Medicare Enrollment ID | O20100913001149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083847727 | NPI | - | NPPES |
| 266250700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME90231 (Florida) | Primary |
| Provider Name | Romulo Clavelo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063484913 PECOS PAC ID: 0345210506 Enrollment ID: I20040727000889 |
| Provider Name | Osvaldo Soler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508363383 PECOS PAC ID: 5991050239 Enrollment ID: I20180611000281 |
| Provider Name | Nestor Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255938437 PECOS PAC ID: 1850463480 Enrollment ID: I20201130001587 |
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