| Sg Primary Care Md, Llc | |
|
8200 Sw 117th Ave Miami FL 33183-3856 | |
| (305) 274-6422 | |
| (305) 274-5707 |
| Full Name | Sg Primary Care Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8200 Sw 117th Ave, Miami, Florida |
| Authorized Official Name and Position | Sergio Garcia (OWNER) |
| Authorized Official Contact | 3052746422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sg Primary Care Md, Llc 8200 Sw 117th Ave Miami FL 33183-3856 Ph: (305) 274-6422 | Sg Primary Care Md, Llc 8200 Sw 117th Ave Miami FL 33183-3856 Ph: (305) 274-6422 |
| NPI Number | 1548898646 |
|---|---|
| Provider Enumeration Date | 04/01/2020 |
| Last Update Date | 04/08/2020 |
| Medicare PECOS PAC ID | 9335570654 |
|---|---|
| Medicare Enrollment ID | O20200520001678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548898646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sergio Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548462740 PECOS PAC ID: 2163584368 Enrollment ID: I20081223000167 |
| Provider Name | Jacqueline Porras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861979106 PECOS PAC ID: 8921343351 Enrollment ID: I20181213000075 |
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