Somos Vida Medical Multiservice Llc | |
4064 Sw 69th Ave Miramar FL 33023-6688 | |
(954) 239-8860 | |
(954) 239-8847 |
Full Name | Somos Vida Medical Multiservice Llc |
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Speciality | Family Medicine |
Location | 4064 Sw 69th Ave, Miramar, Florida |
Authorized Official Name and Position | Yudith Pando (OWNER/ APRN) |
Authorized Official Contact | 9542398860 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Somos Vida Medical Multiservice Llc 4064 Sw 69th Ave Miramar FL 33023-6688 Ph: (954) 239-8860 | Somos Vida Medical Multiservice Llc 4064 Sw 69th Ave Miramar FL 33023-6688 Ph: (954) 239-8860 |
NPI Number | 1861108342 |
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Provider Enumeration Date | 01/27/2023 |
Last Update Date | 01/27/2023 |
Medicare PECOS PAC ID | 6103291224 |
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Medicare Enrollment ID | O20230403002090 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861108342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Yudith Pando |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568959682 PECOS PAC ID: 2961747357 Enrollment ID: I20181212002138 |
Provider Name | Raymond A Lopez |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1083708747 PECOS PAC ID: 1254392608 Enrollment ID: I20210810002933 |
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