| Premium Healthcare Holdings, Lllp | |
|
2400 Sw 69th Ave Miami FL 33155-1706 | |
| (305) 265-4441 | |
| (305) 265-4844 |
| Full Name | Premium Healthcare Holdings, Lllp |
|---|---|
| Speciality | Clinic/Center |
| Location | 2400 Sw 69th Ave, Miami, Florida |
| Authorized Official Name and Position | Keila Hoover (OWNER) |
| Authorized Official Contact | 3054580211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Healthcare Holdings, Lllp 7371 Sw 24th St Miami FL 33155-1402 Ph: () - | Premium Healthcare Holdings, Lllp 2400 Sw 69th Ave Miami FL 33155-1706 Ph: (305) 265-4441 |
| NPI Number | 1518587203 |
|---|---|
| Provider Enumeration Date | 04/22/2020 |
| Last Update Date | 05/10/2023 |
| Certification Date | 05/10/2023 |
| Medicare PECOS PAC ID | 7315320207 |
|---|---|
| Medicare Enrollment ID | O20220809004021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518587203 | NPI | - | NPPES |
| Provider Name | Octavio J Carreno |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629039409 PECOS PAC ID: 1456341361 Enrollment ID: I20040513000835 |
| Provider Name | George Daniel Yatzkan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457308744 PECOS PAC ID: 0042293672 Enrollment ID: I20040612000352 |
| Provider Name | Emilio E Castaneda |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194858746 PECOS PAC ID: 2365421930 Enrollment ID: I20040716000667 |
| Provider Name | Javier Perez Fernandez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659367696 PECOS PAC ID: 6901865161 Enrollment ID: I20041005000443 |
| Provider Name | Jose C Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861429425 PECOS PAC ID: 9931151768 Enrollment ID: I20050221000080 |
| Provider Name | Elie R Haddad |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1740242361 PECOS PAC ID: 4981635315 Enrollment ID: I20050825000782 |
| Provider Name | Keila Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417909375 PECOS PAC ID: 6709809247 Enrollment ID: I20060110000964 |
| Provider Name | Rodolfo Alfred Perez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154359479 PECOS PAC ID: 7618985995 Enrollment ID: I20060328000590 |
| Provider Name | Narciso L Gomez |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1710178116 PECOS PAC ID: 7113099615 Enrollment ID: I20080627000348 |
| Provider Name | Julio Vijil |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114030673 PECOS PAC ID: 1850329970 Enrollment ID: I20091030000217 |
| Provider Name | Carlos Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528225638 PECOS PAC ID: 3577757657 Enrollment ID: I20101102001382 |
| Provider Name | Curtis L Anderson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245410687 PECOS PAC ID: 4688815277 Enrollment ID: I20130724000439 |
| Provider Name | Thomas D Riley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558681817 PECOS PAC ID: 9133368590 Enrollment ID: I20151118002568 |
| Provider Name | Bamidele O Olupona |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548502867 PECOS PAC ID: 8224322409 Enrollment ID: I20160810002841 |
| Provider Name | Quoc Bao Nhu Dang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881932895 PECOS PAC ID: 6800165390 Enrollment ID: I20190222000293 |
| Provider Name | Emilio Antonio Perez Power |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598114811 PECOS PAC ID: 1557654092 Enrollment ID: I20190912000168 |
| Provider Name | Brian R Villa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861843906 PECOS PAC ID: 2769812833 Enrollment ID: I20200414002044 |
| Provider Name | Adam Michael De Fazio |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366839573 PECOS PAC ID: 7810291671 Enrollment ID: I20200730003169 |
| Provider Name | Jose Luis Vilaro Valderrabano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093127631 PECOS PAC ID: 6406192822 Enrollment ID: I20200811003251 |
| Provider Name | Lilliam Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538657705 PECOS PAC ID: 7810304581 Enrollment ID: I20210810002482 |
| Provider Name | Elvira J Rives |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619900610 PECOS PAC ID: 6204272511 Enrollment ID: I20240308002594 |
| Provider Name | Fenton G Lebon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245989458 PECOS PAC ID: 3476999665 Enrollment ID: I20240311001114 |
| Provider Name | Nicholas Kaknes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740556471 PECOS PAC ID: 7618320284 Enrollment ID: I20240314001799 |
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