Wave Medical Center Inc | |
8260 W Flagler St Ste 26 Miami FL 33144-2069 | |
(786) 300-2323 | |
(305) 221-5665 |
Full Name | Wave Medical Center Inc |
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Speciality | General Practice |
Location | 8260 W Flagler St Ste 26, Miami, Florida |
Authorized Official Name and Position | Dianelys Mourelles Cabrera (PRESIDENT) |
Authorized Official Contact | 7863002323 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wave Medical Center Inc 8260 W Flagler St Ste 26 Miami FL 33144-2069 Ph: (786) 783-3434 | Wave Medical Center Inc 8260 W Flagler St Ste 26 Miami FL 33144-2069 Ph: (786) 300-2323 |
NPI Number | 1134855976 |
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Provider Enumeration Date | 07/25/2022 |
Last Update Date | 03/01/2024 |
Medicare PECOS PAC ID | 9133501539 |
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Medicare Enrollment ID | O20220802001365 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134855976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Provider Name | Patricia Freire |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740231075 PECOS PAC ID: 5193621845 Enrollment ID: I20031211000891 |
Provider Name | Pedro T Machin |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1972644151 PECOS PAC ID: 6709782428 Enrollment ID: I20040624000417 |
Provider Name | Liliana I Laynes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699165803 PECOS PAC ID: 1456641471 Enrollment ID: I20160603001036 |
Provider Name | Elena Blanco Baez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710599832 PECOS PAC ID: 4880004431 Enrollment ID: I20201110001678 |
Provider Name | Fermin F Reyes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982367769 PECOS PAC ID: 2961896386 Enrollment ID: I20220301002141 |
Provider Name | Ana I Pinon Castillo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306582127 PECOS PAC ID: 0446612758 Enrollment ID: I20230818001390 |
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