| Saludmax Medical Corp | |
|
2648 Sw 87th Ave Miami FL 33165-2031 | |
| (786) 615-2357 | |
| (786) 615-2366 |
| Full Name | Saludmax Medical Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2648 Sw 87th Ave, Miami, Florida |
| Authorized Official Name and Position | Wilfredo Ramirez (PRESIDENT) |
| Authorized Official Contact | 7868287905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saludmax Medical Corp 2648 Sw 87th Ave Miami FL 33165-2031 Ph: (786) 615-2357 | Saludmax Medical Corp 2648 Sw 87th Ave Miami FL 33165-2031 Ph: (786) 615-2357 |
| NPI Number | 1376034561 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 07/27/2021 |
| Medicare PECOS PAC ID | 9032538392 |
|---|---|
| Medicare Enrollment ID | O20201006001540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376034561 | NPI | - | NPPES |
| Provider Name | Reynaldo Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215264536 PECOS PAC ID: 0143485409 Enrollment ID: I20120712000057 |
| Provider Name | Yanet Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225697923 PECOS PAC ID: 4880026764 Enrollment ID: I20191114001188 |
| Provider Name | Carlos Alberto Autie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912515768 PECOS PAC ID: 2769801588 Enrollment ID: I20200929000527 |
| Provider Name | Eduardo Wilfredo Loredo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295336337 PECOS PAC ID: 8628485075 Enrollment ID: I20210331000670 |
| Provider Name | Roxana Cevallos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760822811 PECOS PAC ID: 9032506746 Enrollment ID: I20220427003168 |
| Provider Name | Nguyen Caballero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467119917 PECOS PAC ID: 3779592308 Enrollment ID: I20220525000957 |
| Provider Name | Katia Lauzarique |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851038491 PECOS PAC ID: 2961878798 Enrollment ID: I20221019003350 |
| Provider Name | Judith N Gonzalez Dollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679231054 PECOS PAC ID: 6507231230 Enrollment ID: I20230412000720 |
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