| Rosita Community Medical Center Inc | |
|
4530 Nw 7th St Miami FL 33126-2307 | |
| (306) 307-4685 | |
| (305) 463-0361 |
| Full Name | Rosita Community Medical Center Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4530 Nw 7th St, Miami, Florida |
| Authorized Official Name and Position | Cindy M Tirado Mayta (PRESIDENT) |
| Authorized Official Contact | 3053074685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosita Community Medical Center Inc 4530 Nw 7th St Miami FL 33126-2307 Ph: (306) 307-4685 | Rosita Community Medical Center Inc 4530 Nw 7th St Miami FL 33126-2307 Ph: (306) 307-4685 |
| NPI Number | 1306422407 |
|---|---|
| Provider Enumeration Date | 03/20/2021 |
| Last Update Date | 07/17/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 9234520677 |
|---|---|
| Medicare Enrollment ID | O20211220001379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306422407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jorge Diaz Valdes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891116471 PECOS PAC ID: 5799052759 Enrollment ID: I20190208000186 |
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