| Vilmed Inc | |
|
9111 Park Dr Miami Shores FL 33138-3159 | |
| (305) 756-6110 | |
| (305) 759-1255 |
| Full Name | Vilmed Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9111 Park Dr, Miami Shores, Florida |
| Authorized Official Name and Position | Carlos Omenaca (DIRECTOR) |
| Authorized Official Contact | 3057566110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vilmed Inc 9111 Park Dr Miami Shores FL 33138-3159 Ph: (305) 756-6110 | Vilmed Inc 9111 Park Dr Miami Shores FL 33138-3159 Ph: (305) 756-6110 |
| NPI Number | 1730259649 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/25/2016 |
| Medicare PECOS PAC ID | 2961449970 |
|---|---|
| Medicare Enrollment ID | O20080605000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730259649 | NPI | - | NPPES |
| 3377883 | Other | AETNA HMO | |
| 7154509 | Other | AETNA NON HMO | |
| 280668100 | Medicaid | FL | |
| DR2151 | Other | FL | MEDICARE RAILROAD PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME72943 (Florida) | Primary |
| Provider Name | Maria G Ale Castro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295747772 PECOS PAC ID: 2163490079 Enrollment ID: I20040920000228 |
| Provider Name | Carlos L Omenaca |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205833381 PECOS PAC ID: 2769429786 Enrollment ID: I20050414000266 |
| Provider Name | Erik S Lowman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770524944 PECOS PAC ID: 6709880263 Enrollment ID: I20060914000417 |
| Provider Name | Lauren A. Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033512579 PECOS PAC ID: 6901120039 Enrollment ID: I20150121001101 |
| Provider Name | Elyana L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114472529 PECOS PAC ID: 9234410143 Enrollment ID: I20170109002393 |
| Provider Name | Victor Furlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962947267 PECOS PAC ID: 7416231998 Enrollment ID: I20170427002587 |
| Provider Name | Yanet Milanes Villa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285140764 PECOS PAC ID: 6800135344 Enrollment ID: I20190228001492 |
| Provider Name | Lyudmyla Tymtsyas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538793039 PECOS PAC ID: 3971978743 Enrollment ID: I20230408000116 |
| Provider Name | Sonia Maria Serpa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760044010 PECOS PAC ID: 4082051891 Enrollment ID: I20240327004182 |
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