| Sol Pediatrics Llc | |
|
175 W 49th St Hialeah FL 33012-3711 | |
| (786) 621-9777 | |
| Not Available |
| Full Name | Sol Pediatrics Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 175 W 49th St, Hialeah, Florida |
| Authorized Official Name and Position | Agustin Rivas (MANAGER) |
| Authorized Official Contact | 2564120478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sol Pediatrics Llc 175 W 49th St Hialeah FL 33012-3711 Ph: (786) 621-9777 | Sol Pediatrics Llc 175 W 49th St Hialeah FL 33012-3711 Ph: (786) 621-9777 |
| NPI Number | 1326455387 |
|---|---|
| Provider Enumeration Date | 07/22/2014 |
| Last Update Date | 05/02/2016 |
| Medicare PECOS PAC ID | 8123331600 |
|---|---|
| Medicare Enrollment ID | O20150714000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326455387 | NPI | - | NPPES |
| 013332701 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME-100281 (Florida) | Primary |
| Provider Name | Agustin Rivas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205948783 PECOS PAC ID: 5698739019 Enrollment ID: I20150714000962 |
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