| Wedo Medical Center Corp | |
|
2215 Nw 36th St Miami FL 33142-5357 | |
| (844) 933-6633 | |
| Not Available |
| Full Name | Wedo Medical Center Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 2215 Nw 36th St, Miami, Florida |
| Authorized Official Name and Position | Yusniel Marin (PRESIDENT) |
| Authorized Official Contact | 7865683107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wedo Medical Center Corp 2215 Nw 36th St Miami FL 33142-5357 Ph: () - | Wedo Medical Center Corp 2215 Nw 36th St Miami FL 33142-5357 Ph: (844) 933-6633 |
| NPI Number | 1245990019 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 12/22/2021 |
| Medicare PECOS PAC ID | 0143617712 |
|---|---|
| Medicare Enrollment ID | O20220428002599 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245990019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mario Jorge Gonzalez Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427479310 PECOS PAC ID: 5597055657 Enrollment ID: I20160601001388 |
| Provider Name | Yirka Marin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073018248 PECOS PAC ID: 6103176680 Enrollment ID: I20180904001904 |
| Provider Name | Ubaldo A Miranda |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366916231 PECOS PAC ID: 4183817919 Enrollment ID: I20201013002334 |
| Provider Name | Jorge Tase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043975105 PECOS PAC ID: 0749642114 Enrollment ID: I20230816003598 |
| Provider Name | Fernando J Torres |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942262860 PECOS PAC ID: 1951325539 Enrollment ID: I20240228002488 |
| Provider Name | Maribel Jacobo Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689221822 PECOS PAC ID: 7113469966 Enrollment ID: I20240607001037 |
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