Memorial Primary Care-palm Springs North | |
8649 Nw 186th St Hialeah FL 33015-2553 | |
(305) 682-2666 | |
(954) 276-0094 |
Full Name | Memorial Primary Care-palm Springs North |
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Speciality | General Practice |
Location | 8649 Nw 186th St, Hialeah, Florida |
Authorized Official Name and Position | Esther Surujon (CFO MPG, MPC AND UCC) |
Authorized Official Contact | 9542656677 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Memorial Primary Care-palm Springs North 2900 Corporate Way Door D Miramar FL 33025-3925 Ph: (954) 276-5685 | Memorial Primary Care-palm Springs North 8649 Nw 186th St Hialeah FL 33015-2553 Ph: (305) 682-2666 |
NPI Number | 1144919259 |
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Provider Enumeration Date | 05/04/2023 |
Last Update Date | 08/04/2023 |
Medicare PECOS PAC ID | 8123927373 |
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Medicare Enrollment ID | O20230911003880 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144919259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Luis Alberto Santana Lopez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265848873 PECOS PAC ID: 0749540839 Enrollment ID: I20180209002235 |
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