| Sina Medical Center Llc | |
|
1541 Se 12th Ave Ste 29 Homestead FL 33034-2699 | |
| (786) 640-1424 | |
| (786) 601-7124 |
| Full Name | Sina Medical Center Llc |
|---|---|
| Speciality | General Practice |
| Location | 1541 Se 12th Ave Ste 29, Homestead, Florida |
| Authorized Official Name and Position | Lazaro A Castro (PRESIDENT/MANAGER) |
| Authorized Official Contact | 7867195201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sina Medical Center Llc 1541 Se 12th Ave Ste 29 Homestead FL 33034-2699 Ph: (786) 640-1424 | Sina Medical Center Llc 1541 Se 12th Ave Ste 29 Homestead FL 33034-2699 Ph: (786) 640-1424 |
| NPI Number | 1407439078 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 10/17/2023 |
| Medicare PECOS PAC ID | 6406257054 |
|---|---|
| Medicare Enrollment ID | O20210702001043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407439078 | NPI | - | NPPES |
| 113623100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QR1100X | Clinic/center - Research | (* (Not Available)) | Secondary |
| Provider Name | Armando Zabala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073504825 PECOS PAC ID: 4880684836 Enrollment ID: I20040513000411 |
| Provider Name | Ruben Valderrama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528570223 PECOS PAC ID: 2264766450 Enrollment ID: I20190621000583 |
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