| |
777 E 25th St Ste 308 Hialeah FL 33013-3824 | |
(954) 696-3093 | |
(305) 995-0947 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 777 E 25th St Ste 308, Hialeah, Florida |
Authorized Official Name and Position | Ciomara Socorro (OWNER) |
Authorized Official Contact | 9546963093 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
10640 Sw 20th Ct Miramar FL 33025-3963 Ph: (954) 696-3093 | 777 E 25th St Ste 308 Hialeah FL 33013-3824 Ph: (954) 696-3093 |
NPI Number | 1891317806 |
---|---|
Provider Enumeration Date | 05/13/2020 |
Last Update Date | 11/29/2022 |
Medicare PECOS PAC ID | 6800210600 |
---|---|
Medicare Enrollment ID | O20200727003156 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891317806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Ciomara Socorro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629566286 PECOS PAC ID: 9931440468 Enrollment ID: I20190411000135 |
Orp Reflexion Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3912 W 12th Ave, Hialeah, FL 33012 Phone: 786-391-0596 Fax: 786-391-0597 | |
Health In Motion Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4184 W 12th Ave, Hialeah, FL 33012 Phone: 305-556-3222 Fax: 305-556-3007 | |
Erick Unlimited Ii, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3746 W 12th Ave, Hialeah, FL 33012 Phone: 305-992-0837 | |
Millennium Medical Center Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3914 W 12th Ave, Hialeah, FL 33012 Phone: 305-823-8244 | |
Pac Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4311 Palm Ave, Suit 3, Hialeah, FL 33012 Phone: 305-823-7740 Fax: 305-823-8527 |