| Serenity Med Group Llc | |
|
8900 Sw 107th Ave Ste 203 Miami FL 33176-1451 | |
| (786) 558-4823 | |
| (786) 558-4839 |
| Full Name | Serenity Med Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8900 Sw 107th Ave Ste 203, Miami, Florida |
| Authorized Official Name and Position | Javier Naranjo (PRESIDENT) |
| Authorized Official Contact | 7865584823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Med Group Llc 8900 Sw 107th Ave Ste 203 Miami FL 33176-1451 Ph: (786) 558-4823 | Serenity Med Group Llc 8900 Sw 107th Ave Ste 203 Miami FL 33176-1451 Ph: (786) 558-4823 |
| NPI Number | 1134996218 |
|---|---|
| Provider Enumeration Date | 12/07/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 2961842927 |
|---|---|
| Medicare Enrollment ID | O20240424003893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134996218 | NPI | - | NPPES |
| Provider Name | Ricardo Garcia Rivera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366434334 PECOS PAC ID: 0143112607 Enrollment ID: I20040817001013 |
| Provider Name | Mark J Rosenthal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659470201 PECOS PAC ID: 7719996677 Enrollment ID: I20060420000498 |
| Provider Name | Amanda Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477762839 PECOS PAC ID: 6305994963 Enrollment ID: I20090508000267 |
| Provider Name | Sergio Jaramillo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679770879 PECOS PAC ID: 6800982448 Enrollment ID: I20090513000198 |
| Provider Name | Enrique E Vazquez Escarpanter |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083729677 PECOS PAC ID: 4981684529 Enrollment ID: I20090519000444 |
| Provider Name | Rick G Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053808113 PECOS PAC ID: 5799174934 Enrollment ID: I20220407000191 |
| Provider Name | Ladisbel Garcia Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811694409 PECOS PAC ID: 9638536162 Enrollment ID: I20230526002395 |
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