| Rangel Medical Center | |
|
12595 Sw 137th Ave Ste 201 Miami FL 33186-4221 | |
| (786) 770-4832 | |
| Not Available |
| Full Name | Rangel Medical Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 12595 Sw 137th Ave Ste 201, Miami, Florida |
| Authorized Official Name and Position | Lianne Rangel Izquierdo (PRESIDENT) |
| Authorized Official Contact | 7865267708 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rangel Medical Center 12595 Sw 137th Ave Ste 201 Miami FL 33186-4221 Ph: (786) 770-4832 | Rangel Medical Center 12595 Sw 137th Ave Ste 201 Miami FL 33186-4221 Ph: (786) 770-4832 |
| NPI Number | 1043020563 |
|---|---|
| Provider Enumeration Date | 01/08/2025 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Medicare PECOS PAC ID | 5991226144 |
|---|---|
| Medicare Enrollment ID | O20250305000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043020563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Micaela S Benayoun |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073116000 PECOS PAC ID: 0042669913 Enrollment ID: I20231218002750 |
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