| Shelton Medical Services,inc | |
|
3525 Nw 7th St Miami FL 33125-4015 | |
| (786) 801-0218 | |
| (786) 353-9125 |
| Full Name | Shelton Medical Services,inc |
|---|---|
| Speciality | General Practice |
| Location | 3525 Nw 7th St, Miami, Florida |
| Authorized Official Name and Position | Gretell Kamanel (PRESIDENT) |
| Authorized Official Contact | 7868010218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelton Medical Services,inc 3525 Nw 7th St Miami FL 33125-4015 Ph: (786) 801-0218 | Shelton Medical Services,inc 3525 Nw 7th St Miami FL 33125-4015 Ph: (786) 801-0218 |
| NPI Number | 1730697327 |
|---|---|
| Provider Enumeration Date | 01/17/2018 |
| Last Update Date | 07/07/2020 |
| Medicare PECOS PAC ID | 6608206362 |
|---|---|
| Medicare Enrollment ID | O20200420002697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730697327 | NPI | - | NPPES |
| Provider Name | Jesus Ramon Rodriguez De La Torre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861489726 PECOS PAC ID: 4385826361 Enrollment ID: I20110311000660 |
| Provider Name | Eric Rafael Campillo-juig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205039005 PECOS PAC ID: 6901173566 Enrollment ID: I20171220002705 |
| Provider Name | Jacqueline Victoria Lopez Sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730665654 PECOS PAC ID: 4183046832 Enrollment ID: I20200625000894 |
| Provider Name | Rene Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033710777 PECOS PAC ID: 6800208323 Enrollment ID: I20201207001904 |
| Provider Name | Alina R Martinez Duenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558842161 PECOS PAC ID: 6709143985 Enrollment ID: I20201223000043 |
| Provider Name | Lazaro Jesus Ramirez Arteaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518579606 PECOS PAC ID: 7113338591 Enrollment ID: I20210209001899 |
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