Univida Medical Center Llc | |
6400 Sw 8th St West Miami FL 33144-4814 | |
(305) 204-0333 | |
(305) 359-7546 |
Full Name | Univida Medical Center Llc |
---|---|
Speciality | General Practice |
Location | 6400 Sw 8th St, West Miami, Florida |
Authorized Official Name and Position | Luis Castro (MANAGING PARTNER) |
Authorized Official Contact | 3052031008 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Univida Medical Center Llc 860 Nw 42nd Ave 5th Floor Miami FL 33126-3667 Ph: (305) 204-0333 | Univida Medical Center Llc 6400 Sw 8th St West Miami FL 33144-4814 Ph: (305) 204-0333 |
NPI Number | 1487321774 |
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Provider Enumeration Date | 08/25/2021 |
Last Update Date | 01/17/2023 |
Medicare PECOS PAC ID | 7214316868 |
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Medicare Enrollment ID | O20220628001569 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487321774 | NPI | - | NPPES |
114295500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Ricardo De Armas Palomera |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1245249143 PECOS PAC ID: 6406832898 Enrollment ID: I20040628000438 |
Provider Name | Luis Alberto Andux |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447283668 PECOS PAC ID: 2567414352 Enrollment ID: I20050221000536 |
Provider Name | Orlando D Rodriguez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952502825 PECOS PAC ID: 6608945753 Enrollment ID: I20080515000574 |
Provider Name | Alfredo Gonzalez-vergara |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790976371 PECOS PAC ID: 2062574940 Enrollment ID: I20081231000413 |
Provider Name | Raul Rodriguez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1831347707 PECOS PAC ID: 2163568106 Enrollment ID: I20091006000386 |
Provider Name | Yamirka Duardo-guerra |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295935047 PECOS PAC ID: 4385786797 Enrollment ID: I20100123000073 |
Provider Name | Ignacio C Chinea |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306171749 PECOS PAC ID: 5799941472 Enrollment ID: I20120724000984 |
Provider Name | Barbara C Orozco Perez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1457322315 PECOS PAC ID: 0547174484 Enrollment ID: I20150225002216 |
Provider Name | Rolando Crespo Zamora |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1407827355 PECOS PAC ID: 8820994437 Enrollment ID: I20150225002356 |
Provider Name | Odalys M Gonzalez Marey |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1306242805 PECOS PAC ID: 6406169853 Enrollment ID: I20150714003196 |
Provider Name | Juan Lazaro Brito Villalon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184163974 PECOS PAC ID: 7214299676 Enrollment ID: I20180322001861 |
Provider Name | Arturo J Perez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1558516765 PECOS PAC ID: 6204175383 Enrollment ID: I20190307001351 |
Provider Name | Kendry Gisbert Garcia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265915862 PECOS PAC ID: 8820338460 Enrollment ID: I20190319001600 |
Provider Name | Marelys Sanchez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841780582 PECOS PAC ID: 7113250283 Enrollment ID: I20190604001936 |
Provider Name | Crosleivis Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982242335 PECOS PAC ID: 9234555699 Enrollment ID: I20200814002359 |
Provider Name | Karel Matos Hernandez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700495157 PECOS PAC ID: 8729491030 Enrollment ID: I20210106000092 |
Provider Name | Adamaris Domenech |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417661398 PECOS PAC ID: 2365809043 Enrollment ID: I20230612002260 |
Provider Name | Reinaldo Llorca |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003362823 PECOS PAC ID: 5597043745 Enrollment ID: I20230803003326 |
Provider Name | Eileen Jaime Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821633116 PECOS PAC ID: 5991166175 Enrollment ID: I20230803003857 |
Provider Name | Carlos Miguel Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619596657 PECOS PAC ID: 1658727409 Enrollment ID: I20231030003827 |
Provider Name | Olenia Pesant Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801596523 PECOS PAC ID: 0547612202 Enrollment ID: I20240118000068 |
Provider Name | Yenislen Gutierrez Vergel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356919773 PECOS PAC ID: 8325488398 Enrollment ID: I20240425000041 |
Provider Name | Ana Ilsa Coma Vargas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124870795 PECOS PAC ID: 3375984461 Enrollment ID: I20240507001918 |
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