| Terranova Medical Center 1 Corp | |
|
468 Nw 27th Ave Miami FL 33125-3434 | |
| (786) 790-3271 | |
| (305) 560-5535 |
| Full Name | Terranova Medical Center 1 Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 468 Nw 27th Ave, Miami, Florida |
| Authorized Official Name and Position | Yadira Delgado (OWNER) |
| Authorized Official Contact | 7867903271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terranova Medical Center 1 Corp 468 Nw 27th Ave Miami FL 33125-3434 Ph: (786) 790-3271 | Terranova Medical Center 1 Corp 468 Nw 27th Ave Miami FL 33125-3434 Ph: (786) 790-3271 |
| NPI Number | 1144827569 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 07/11/2023 |
| Medicare PECOS PAC ID | 8426432774 |
|---|---|
| Medicare Enrollment ID | O20220906000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144827569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kevin Fitzgerald |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891923744 PECOS PAC ID: 6204980717 Enrollment ID: I20160822001548 |
| Provider Name | Carlos Alberto Alsina Morfa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689291890 PECOS PAC ID: 9638594161 Enrollment ID: I20200731000254 |
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