| Royalty Of 4 M Medical Group | |
|
3100 Milam Dairy Rd Ste 113 Miami FL 33122-1335 | |
| (786) 444-9294 | |
| Not Available |
| Full Name | Royalty Of 4 M Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3100 Milam Dairy Rd Ste 113, Miami, Florida |
| Authorized Official Name and Position | Mercedes Martinez (CEO) |
| Authorized Official Contact | 7864449294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Royalty Of 4 M Medical Group 3100 Milam Dairy Rd Ste 113 Miami FL 33122-1335 Ph: (786) 444-9294 | Royalty Of 4 M Medical Group 3100 Milam Dairy Rd Ste 113 Miami FL 33122-1335 Ph: (786) 444-9294 |
| NPI Number | 1932732666 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Medicare PECOS PAC ID | 6305250390 |
|---|---|
| Medicare Enrollment ID | O20210203000806 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932732666 | NPI | - | NPPES |
| Provider Name | Maria A Valdivia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962509562 PECOS PAC ID: 3173651726 Enrollment ID: I20100503000495 |
| Provider Name | Jorge Luis Jorge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366949737 PECOS PAC ID: 9537564687 Enrollment ID: I20210827000257 |
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