| Servimed Miami Pa | |
|
3850 Sw 87th Ave Suite 305 Miami FL 33165-5400 | |
| (786) 556-6652 | |
| Not Available |
| Full Name | Servimed Miami Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3850 Sw 87th Ave, Miami, Florida |
| Authorized Official Name and Position | Mara M Rodriguez (PHYSICIAN) |
| Authorized Official Contact | 7865566652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Servimed Miami Pa 3850 Sw 87th Ave Suite 305 Miami FL 33165-5400 Ph: () - | Servimed Miami Pa 3850 Sw 87th Ave Suite 305 Miami FL 33165-5400 Ph: (786) 556-6652 |
| NPI Number | 1427485358 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 10/10/2013 |
| Medicare PECOS PAC ID | 8527290519 |
|---|---|
| Medicare Enrollment ID | O20140404001328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427485358 | NPI | - | NPPES |
| 1518242346 | Other | FL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME111166 (Florida) | Primary |
| Provider Name | Mara M Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518242346 PECOS PAC ID: 8729255575 Enrollment ID: I20120118000701 |
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