| Verimed Health Group Mariner, Llc | |
|
7064 Mariner Blvd Spring Hill FL 34609-1000 | |
| (352) 597-5557 | |
| Not Available |
| Full Name | Verimed Health Group Mariner, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7064 Mariner Blvd, Spring Hill, Florida |
| Authorized Official Name and Position | Gina Perez (ADMINISTRATOR) |
| Authorized Official Contact | 3525975557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verimed Health Group Mariner, Llc 7064 Mariner Blvd Spring Hill FL 34609-1000 Ph: (352) 597-5557 | Verimed Health Group Mariner, Llc 7064 Mariner Blvd Spring Hill FL 34609-1000 Ph: (352) 597-5557 |
| NPI Number | 1558749820 |
|---|---|
| Provider Enumeration Date | 05/07/2015 |
| Last Update Date | 05/07/2015 |
| Medicare PECOS PAC ID | 1951693241 |
|---|---|
| Medicare Enrollment ID | O20160706002642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558749820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Jorge T Cisneros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861431447 PECOS PAC ID: 4385645167 Enrollment ID: I20070122000367 |
| Provider Name | Luis A Rivera Quinones |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154372555 PECOS PAC ID: 8022192962 Enrollment ID: I20181120001816 |
| Provider Name | Rosario A Pena Almeyda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356990238 PECOS PAC ID: 7012249204 Enrollment ID: I20191021001522 |
| Provider Name | Gilberto Alvarez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598303984 PECOS PAC ID: 8224449608 Enrollment ID: I20201117000779 |
| Provider Name | Shannon Holmes Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659080562 PECOS PAC ID: 5991174088 Enrollment ID: I20221213000022 |
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