Tu Salud Medical Centers Iii Llc | |
1600 Nw 17th Ave Miami FL 33125-2327 | |
(305) 912-8603 | |
(305) 907-5343 |
Full Name | Tu Salud Medical Centers Iii Llc |
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Speciality | General Practice |
Location | 1600 Nw 17th Ave, Miami, Florida |
Authorized Official Name and Position | Yuniel Rey Del Toro (PRESIDENT) |
Authorized Official Contact | 3059128603 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tu Salud Medical Centers Iii Llc 900 Park Centre Blvd Ste 400a Miami Gardens FL 33169-5371 Ph: (305) 912-8603 | Tu Salud Medical Centers Iii Llc 1600 Nw 17th Ave Miami FL 33125-2327 Ph: (305) 912-8603 |
NPI Number | 1093472557 |
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Provider Enumeration Date | 11/19/2021 |
Last Update Date | 11/19/2021 |
Medicare PECOS PAC ID | 5991152324 |
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Medicare Enrollment ID | O20231116000312 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093472557 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Jose L Garcia |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487768701 PECOS PAC ID: 8022018845 Enrollment ID: I20061229000362 |
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