Ronoel Penalver Mdpa is a medicare enrolled primary clinic (Internal Medicine) in Pembroke Pnes, Florida. The current practice location for Ronoel Penalver Mdpa is 10081 Pines Blvd Ste B, Pembroke Pnes, Florida. For appointments, you can reach them via phone at
(954) 251-1175. The mailing address for Ronoel Penalver Mdpa is 4581 Weston Rd Ste 381, Weston, Florida and phone number is (954) 251-1175.
Ronoel Penalver Mdpa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1750039863. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(954) 251-1175.
Primary Care Clinic Profile
| Full Name | Ronoel Penalver Mdpa |
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| Speciality | Internal Medicine |
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| Location | 10081 Pines Blvd Ste B, Pembroke Pnes, Florida |
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| Authorized Official Name and Position | Ronoel Penalver (MD/OWNER) |
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| Authorized Official Contact | 9548525485 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ronoel Penalver Mdpa
4581 Weston Rd Ste 381
Weston
FL 33331-3141
Ph: (954) 251-1175 | Ronoel Penalver Mdpa
10081 Pines Blvd Ste B
Pembroke Pnes
FL 33024-6171
Ph: (954) 251-1175 |
NPI Details:
| NPI Number | 1750039863 |
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| Provider Enumeration Date | 03/17/2022 |
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| Last Update Date | 11/22/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1355706102 |
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| Medicare Enrollment ID | O20230428002876 |
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Medical Identifiers
Medical identifiers for Ronoel Penalver Mdpa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750039863 | NPI | - | NPPES |
| 106009400 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Ronoel Penalver Mdpa acts as a billing entity for following providers:
| Provider Name | Ronoel Penalver |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1083054324
PECOS PAC ID: 3870726623
Enrollment ID: I20160809000690 |
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