| Valmer Medical Office, Corp | |
|
777 E 25th St Suite # 419 Hialeah FL 33013-3825 | |
| (305) 677-9519 | |
| (786) 715-5397 |
| Full Name | Valmer Medical Office, Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 777 E 25th St, Hialeah, Florida |
| Authorized Official Name and Position | Rafael Hector Valdespino (DIRECTOR) |
| Authorized Official Contact | 3056779519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valmer Medical Office, Corp 777 E 25th St Suite # 419 Hialeah FL 33013-3825 Ph: (305) 677-9519 | Valmer Medical Office, Corp 777 E 25th St Suite # 419 Hialeah FL 33013-3825 Ph: (305) 677-9519 |
| NPI Number | 1356657951 |
|---|---|
| Provider Enumeration Date | 08/20/2010 |
| Last Update Date | 08/20/2010 |
| Medicare PECOS PAC ID | 3476721879 |
|---|---|
| Medicare Enrollment ID | O20110728000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356657951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME104195 (Florida) | Primary |
| Provider Name | Rafael Hector Valdespino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629248539 PECOS PAC ID: 4587795364 Enrollment ID: I20100622000734 |
| Provider Name | Mercedes Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821553843 PECOS PAC ID: 4284802687 Enrollment ID: I20200306000507 |
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