| Dr Richard Koby, MD | |
|
7150 W 20th Ave, Suite 615, Hialeah, FL 33016-5529 | |
| (305) 821-6600 | |
| (305) 821-0773 |
| Full Name | Dr Richard Koby |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 7150 W 20th Ave, Hialeah, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740267012 | NPI | - | NPPES |
| 044892300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME 49055 (Florida) | Primary |
| Entity Name | Miami Lakes Medical Center Associates, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679758817 PECOS PAC ID: 2365436466 Enrollment ID: O20040412001444 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Koby, MD 7150 W 20th Ave, Suite 615, Hialeah, FL 33016-5529 Ph: (305) 821-6600 | Dr Richard Koby, MD 7150 W 20th Ave, Suite 615, Hialeah, FL 33016-5529 Ph: (305) 821-6600 |
Yissel Jorge Puig, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 445 E 25th St, Hialeah, FL 33013 Phone: 305-624-5366 | |
Mislaidy Lopez, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1275 W 47th Pl Ste 420, Hialeah, FL 33012 Phone: 786-353-3295 Fax: 786-353-2249 | |
Dr. Orlando C. Moreno, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4835 E 4th Ave, Suite B, Hialeah, FL 33013 Phone: 786-431-1376 Fax: 786-431-1377 | |
Dr. Richard Gonzalez Perez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2020 W 64th St, Hialeah, FL 33016 Phone: 305-642-5366 | |
Dr. Olga Nydia Miranda Vicente, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 445 E 25th St, Hialeah, FL 33013 Phone: 305-642-5366 Fax: 305-644-6407 | |
Dr. Domingo Gomez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 W 49th St Ste 1, Hialeah, FL 33012 Phone: 305-364-3404 Fax: 305-364-3433 | |
Dr. Adriana Hurtado, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3233 Palm Ave, Hialeah, FL 33012 Phone: 305-826-0660 |