| Terrero Medical Center Llc | |
|
12651 W Sunrise Blvd Sunrise FL 33323-0906 | |
| (954) 514-0995 | |
| (954) 514-0994 |
| Full Name | Terrero Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12651 W Sunrise Blvd, Sunrise, Florida |
| Authorized Official Name and Position | Alfredo Terrero-fernandez (MD) |
| Authorized Official Contact | 9548387543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terrero Medical Center Llc 12651 W Sunrise Blvd Sunrise FL 33323-0906 Ph: (954) 514-0995 | Terrero Medical Center Llc 12651 W Sunrise Blvd Sunrise FL 33323-0906 Ph: (954) 514-0995 |
| NPI Number | 1235309857 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 06/02/2008 |
| Medicare PECOS PAC ID | 9931275963 |
|---|---|
| Medicare Enrollment ID | O20080827000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235309857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 95311 (Florida) | Primary |
| Provider Name | Alfredo Terrero |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790706042 PECOS PAC ID: 3971508672 Enrollment ID: I20061003000061 |
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