| Southwest Medical Group, P.a | |
|
7480 Fairway Dr Ste 106 Miami Lakes FL 33014-6879 | |
| (786) 339-5074 | |
| Not Available |
| Full Name | Southwest Medical Group, P.a |
|---|---|
| Speciality | Family Medicine |
| Location | 7480 Fairway Dr Ste 106, Miami Lakes, Florida |
| Authorized Official Name and Position | Felix Alejandro Ramirez-labrada (OWNER) |
| Authorized Official Contact | 7863395074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Medical Group, P.a 735 Tyler St Hollywood FL 33019-1324 Ph: (786) 339-5074 | Southwest Medical Group, P.a 7480 Fairway Dr Ste 106 Miami Lakes FL 33014-6879 Ph: (786) 339-5074 |
| NPI Number | 1568926327 |
|---|---|
| Provider Enumeration Date | 01/25/2019 |
| Last Update Date | 01/25/2019 |
| Medicare PECOS PAC ID | 8426391871 |
|---|---|
| Medicare Enrollment ID | O20190528002031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568926327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Felix A Ramirez Labrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356696652 PECOS PAC ID: 6103133657 Enrollment ID: I20150915003152 |
| Provider Name | Roberto Modesto Garcia De Varona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578183521 PECOS PAC ID: 7416375407 Enrollment ID: I20200908001072 |
| Provider Name | Yaday M Reina Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598390023 PECOS PAC ID: 2668890872 Enrollment ID: I20200918001896 |
| Provider Name | Yuliesvy Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306475652 PECOS PAC ID: 2668852930 Enrollment ID: I20220704000414 |
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