| Miracle Health Services Inc | |
|
8660 W Flagler St Ste 214 Miami FL 33144-2061 | |
| (305) 266-1945 | |
| (305) 266-1947 |
| Full Name | Miracle Health Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8660 W Flagler St Ste 214, Miami, Florida |
| Authorized Official Name and Position | Lizi Roche (PRESIDENT) |
| Authorized Official Contact | 3052661945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Health Services Inc 8660 W Flagler St Ste 214 Miami FL 33144-2061 Ph: (305) 266-1945 | Miracle Health Services Inc 8660 W Flagler St Ste 214 Miami FL 33144-2061 Ph: (305) 266-1945 |
| NPI Number | 1770816290 |
|---|---|
| Provider Enumeration Date | 09/16/2009 |
| Last Update Date | 04/02/2025 |
| Certification Date | 04/02/2025 |
| Medicare PECOS PAC ID | 9436679669 |
|---|---|
| Medicare Enrollment ID | O20250219000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770816290 | NPI | - | NPPES |
| Provider Name | Ricardo O Grinbank |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750422572 PECOS PAC ID: 5698931962 Enrollment ID: I20120801000136 |
| Provider Name | Yoel Santana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134682958 PECOS PAC ID: 7012243736 Enrollment ID: I20190801001793 |
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