| Somos Vida Health Center, Llc | |
|
4910 E 2nd Ave Hialeah FL 33013-1410 | |
| (954) 239-8860 | |
| (954) 239-8847 |
| Full Name | Somos Vida Health Center, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4910 E 2nd Ave, Hialeah, Florida |
| Authorized Official Name and Position | Yudith Pando (OWNER) |
| Authorized Official Contact | 9542398860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Somos Vida Health Center, Llc 4910 E 2nd Ave Hialeah FL 33013-1410 Ph: (954) 239-8860 | Somos Vida Health Center, Llc 4910 E 2nd Ave Hialeah FL 33013-1410 Ph: (954) 239-8860 |
| NPI Number | 1699365569 |
|---|---|
| Provider Enumeration Date | 01/24/2021 |
| Last Update Date | 02/16/2024 |
| Medicare PECOS PAC ID | 0648674952 |
|---|---|
| Medicare Enrollment ID | O20210809003655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699365569 | NPI | - | NPPES |
| ME130127 | Other | FL | MEDICAL LICENSE |
| Provider Name | Yudith Pando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568959682 PECOS PAC ID: 2961747357 Enrollment ID: I20181212002138 |
| Provider Name | Raymond A Lopez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083708747 PECOS PAC ID: 1254392608 Enrollment ID: I20210810002933 |
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