| United American Medical Center, Llc | |
|
3485 W Flagler St 300 Miami FL 33135-1042 | |
| (305) 418-0272 | |
| (786) 431-5523 |
| Full Name | United American Medical Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3485 W Flagler St, Miami, Florida |
| Authorized Official Name and Position | Luis M Campillo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3054180272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United American Medical Center, Llc 3485 W Flagler St 300 Miami FL 33135-1042 Ph: (305) 418-0272 | United American Medical Center, Llc 3485 W Flagler St 300 Miami FL 33135-1042 Ph: (305) 418-0272 |
| NPI Number | 1043757438 |
|---|---|
| Provider Enumeration Date | 01/24/2017 |
| Last Update Date | 01/24/2017 |
| Medicare PECOS PAC ID | 8921464652 |
|---|---|
| Medicare Enrollment ID | O20230522002937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043757438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Florida) | Primary |
| Provider Name | Luis M Campillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922054352 PECOS PAC ID: 7113812413 Enrollment ID: I20040217000093 |
| Provider Name | Rafael Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700347838 PECOS PAC ID: 4981036563 Enrollment ID: I20191120001480 |
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