| Umiami Medicine One Medical | |
|
86 Sw 8th St Ste 3 Miami FL 33130-3784 | |
| (888) 663-6331 | |
| Not Available |
| Full Name | Umiami Medicine One Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 86 Sw 8th St Ste 3, Miami, Florida |
| Authorized Official Name and Position | Cesia A Sanchez (PROVIDER ENROLLMENT MANAGER) |
| Authorized Official Contact | 3052436837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umiami Medicine One Medical 86 Sw 8th St Ste 3 Miami FL 33130-3784 Ph: () - | Umiami Medicine One Medical 86 Sw 8th St Ste 3 Miami FL 33130-3784 Ph: (888) 663-6331 |
| NPI Number | 1508595315 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 08/24/2022 |
| Medicare PECOS PAC ID | 3870405301 |
|---|---|
| Medicare Enrollment ID | O20031104000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508595315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Elyse L Roelans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629451182 PECOS PAC ID: 6709195563 Enrollment ID: I20151016001291 |
| Provider Name | Michael M Bergman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659437572 PECOS PAC ID: 0244287936 Enrollment ID: I20170223001546 |
| Provider Name | Vanessa Villacorta Sierra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962637314 PECOS PAC ID: 0042406456 Enrollment ID: I20181221002550 |
| Provider Name | Rhea U Cualing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619445277 PECOS PAC ID: 2163768920 Enrollment ID: I20190115003191 |
| Provider Name | Renaldo Barrios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609865740 PECOS PAC ID: 4082776760 Enrollment ID: I20190117002314 |
| Provider Name | German H Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962722454 PECOS PAC ID: 3375776172 Enrollment ID: I20190829001886 |
| Provider Name | Kritika Joshi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598261596 PECOS PAC ID: 1759612948 Enrollment ID: I20191021001144 |
| Provider Name | Mythili Penugonda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447784269 PECOS PAC ID: 4880956887 Enrollment ID: I20210216003349 |
| Provider Name | James M Zelch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457487472 PECOS PAC ID: 1355482621 Enrollment ID: I20210222000088 |
| Provider Name | Daniela Iribarne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861819104 PECOS PAC ID: 5496013112 Enrollment ID: I20221013000078 |
| Provider Name | Karen Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164867628 PECOS PAC ID: 3274774989 Enrollment ID: I20221013000695 |
| Provider Name | Rochelle Rennie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962062141 PECOS PAC ID: 9830528629 Enrollment ID: I20221013001881 |
| Provider Name | Zarina Pino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316191760 PECOS PAC ID: 6305021544 Enrollment ID: I20221019000075 |
| Provider Name | Joshua Bettner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245658475 PECOS PAC ID: 8426346222 Enrollment ID: I20221130002776 |
| Provider Name | Tannaz Nekoi-panah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417576273 PECOS PAC ID: 0244692267 Enrollment ID: I20230808002442 |
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