| South Florida Internists Group Pa | |
|
1312 Sw 27th Avenue Third Floor Miami FL 33145-1243 | |
| (786) 409-2407 | |
| (877) 809-5936 |
| Full Name | South Florida Internists Group Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1312 Sw 27th Avenue, Miami, Florida |
| Authorized Official Name and Position | Mayelin Aldebot (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7866236490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Florida Internists Group Pa 1312 Sw 27th Ave Fl 3 Miami FL 33145-1243 Ph: (786) 409-2407 | South Florida Internists Group Pa 1312 Sw 27th Avenue Third Floor Miami FL 33145-1243 Ph: (786) 409-2407 |
| NPI Number | 1013175074 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 06/07/2023 |
| Medicare PECOS PAC ID | 4183780364 |
|---|---|
| Medicare Enrollment ID | O20090313000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013175074 | NPI | - | NPPES |
| 1073567640 | Medicaid | FL | |
| 1720076144 | Medicaid | FL | |
| 1508167628 | Medicaid | FL | |
| 1063062842 | Medicaid | FL | |
| 1285854125 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | OS8492 (Florida) | Primary |
| Provider Name | Gretel Trullenque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720076144 PECOS PAC ID: 8527015510 Enrollment ID: I20050401000284 |
| Provider Name | Jorge A Loredo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073567640 PECOS PAC ID: 0547271660 Enrollment ID: I20060605000069 |
| Provider Name | Jacqueline Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285854125 PECOS PAC ID: 0840367934 Enrollment ID: I20080915000529 |
| Provider Name | Mariela Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063062842 PECOS PAC ID: 0446621494 Enrollment ID: I20230130001870 |
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