| Rio Medical Center Llc | |
|
13335 Sw 124th St. Unit 106 Miami FL 33186-4471 | |
| (786) 354-1758 | |
| Not Available |
| Full Name | Rio Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13335 Sw 124th St. Unit 106, Miami, Florida |
| Authorized Official Name and Position | Yuleidys Vega Vega (PRESIDENT) |
| Authorized Official Contact | 7863541758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Medical Center Llc 13335 Sw 124th St Ste 106 Miami FL 33186-7513 Ph: (786) 354-1758 | Rio Medical Center Llc 13335 Sw 124th St. Unit 106 Miami FL 33186-4471 Ph: (786) 354-1758 |
| NPI Number | 1780274209 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 07/06/2023 |
| Certification Date | 07/06/2023 |
| Medicare PECOS PAC ID | 2769835529 |
|---|---|
| Medicare Enrollment ID | O20240129000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780274209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ana M Villaverde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447411558 PECOS PAC ID: 0547321515 Enrollment ID: I20081209000515 |
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