| Ta Medical Group | |
|
6498 Coral Way Miami FL 33155 | |
| (305) 668-7047 | |
| (305) 668-7199 |
| Full Name | Ta Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 6498 Coral Way, Miami, Florida |
| Authorized Official Name and Position | Teresa B Alfonso (OWNER) |
| Authorized Official Contact | 3056687047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ta Medical Group 6498 Coral Way Miami FL 33155 Ph: (305) 668-7047 | Ta Medical Group 6498 Coral Way Miami FL 33155 Ph: (305) 668-7047 |
| NPI Number | 1659420974 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 11/18/2021 |
| Medicare PECOS PAC ID | 0648373985 |
|---|---|
| Medicare Enrollment ID | O20070307000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659420974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | ME87045 (Florida) | Primary |
| Provider Name | Teresa B Alfonso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326072448 PECOS PAC ID: 7113991282 Enrollment ID: I20060504000091 |
| Provider Name | Joel C Armas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700112208 PECOS PAC ID: 1557405495 Enrollment ID: I20220105002119 |
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