| Edgardo B Penabad, MD | |
|
7590 Nw 186th St, Hialeah, FL 33015-2952 | |
| (786) 953-6293 | |
| (786) 953-6891 |
| Full Name | Edgardo B Penabad |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 7590 Nw 186th St, 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 |
|---|---|---|---|
| 1063512960 | NPI | - | NPPES |
| 375873700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME65669 (Florida) | Primary |
| Entity Name | Integrity Clinical Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922697150 PECOS PAC ID: 1658786835 Enrollment ID: O20210222000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Edgardo B Penabad, MD 7590 Nw 186th St, Hialeah, FL 33015-2952 Ph: (786) 953-6293 | Edgardo B Penabad, MD 7590 Nw 186th St, Hialeah, FL 33015-2952 Ph: (786) 953-6293 |
Vandely Perez, MD General Practice Medicare: Medicare Enrolled Practice Location: 5378 W 16th Ave, Hialeah, FL 33012 Phone: 305-820-4101 Fax: 305-820-2885 | |
Enrique Solis Lafont, General Practice Medicare: Accepting Medicare Assignments Practice Location: 3746 W 12th Ave, Hialeah, FL 33012 Phone: 786-600-7560 Fax: 786-648-5503 | |
Dr. Mario R Palomino, MD General Practice Medicare: Medicare Enrolled Practice Location: 3805 W 20th Ave, Suite 105, Hialeah, FL 33012 Phone: 305-557-2277 Fax: 305-557-2278 | |
Dr. Katia Fajardo Martinez, MD General Practice Medicare: Medicare Enrolled Practice Location: 2750 W 68th St Ste 127-128, Hialeah, FL 33016 Phone: 305-558-0766 Fax: 305-558-0766 | |
Oscar Pazos Chavez, SRNA General Practice Medicare: Not Enrolled in Medicare Practice Location: 211 W 34th St, Hialeah, FL 33012 Phone: 305-570-7428 | |
Dr. Ernesto Aguilar, MD General Practice Medicare: Medicare Enrolled Practice Location: 2001 W 68th St Ste 202, Hialeah, FL 33016 Phone: 305-364-2107 |