| Zion Health Care Llc | |
|
2100 W 76th St Fl 5 Hialeah FL 33016-5539 | |
| (786) 536-9719 | |
| (786) 536-9847 |
| Full Name | Zion Health Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2100 W 76th St Fl 5, Hialeah, Florida |
| Authorized Official Name and Position | Julietta Marrero (REGISTERED AGENT) |
| Authorized Official Contact | 7865369719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zion Health Care Llc 1470 N.w. 107 Ave Suite G Miami FL 33172 Ph: (786) 536-9719 | Zion Health Care Llc 2100 W 76th St Fl 5 Hialeah FL 33016-5539 Ph: (786) 536-9719 |
| NPI Number | 1023398310 |
|---|---|
| Provider Enumeration Date | 08/18/2011 |
| Last Update Date | 12/07/2020 |
| Medicare PECOS PAC ID | 8224307517 |
|---|---|
| Medicare Enrollment ID | O20170629001553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023398310 | NPI | - | NPPES |
| 020002400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Aleida M Hernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1619940772 PECOS PAC ID: 3779482153 Enrollment ID: I20040105000670 |
| Provider Name | Zoila M Alen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1801804752 PECOS PAC ID: 8022101120 Enrollment ID: I20070906000063 |
| Provider Name | Estilita Pascual |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205935178 PECOS PAC ID: 2860552171 Enrollment ID: I20081118000129 |
| Provider Name | Maryuri Lazara Mayedo Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013314210 PECOS PAC ID: 2668783887 Enrollment ID: I20160115000194 |
| Provider Name | Jiolver Salvador Martin Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760846786 PECOS PAC ID: 3971845751 Enrollment ID: I20190426000286 |
| Provider Name | Yilian Fiallo Lledias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245887017 PECOS PAC ID: 0244626372 Enrollment ID: I20220329002815 |
| Provider Name | Dairon Espinosa Monzon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184398521 PECOS PAC ID: 2062862709 Enrollment ID: I20231221001812 |
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