| Vanessa S Samaniego Md Pllc | |
|
13505 Sw 144th Ter Miami FL 33186-7689 | |
| (786) 238-9160 | |
| Not Available |
| Full Name | Vanessa S Samaniego Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 13505 Sw 144th Ter, Miami, Florida |
| Authorized Official Name and Position | Vanessa S Samaniego (MGR) |
| Authorized Official Contact | 7862389160 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa S Samaniego Md Pllc 13505 Sw 144th Ter Miami FL 33186-7689 Ph: (786) 238-9160 | Vanessa S Samaniego Md Pllc 13505 Sw 144th Ter Miami FL 33186-7689 Ph: (786) 238-9160 |
| NPI Number | 1861126880 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 07/14/2022 |
| Medicare PECOS PAC ID | 3173906005 |
|---|---|
| Medicare Enrollment ID | O20220810001530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861126880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Vanessa S Samaniego |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306307772 PECOS PAC ID: 2062894660 Enrollment ID: I20220728002987 |
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