| Well-being Community Center, Corp. | |
|
2706 W St Isabel St Tampa FL 33607-6382 | |
| (813) 769-9571 | |
| (813) 492-8843 |
| Full Name | Well-being Community Center, Corp. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2706 W St Isabel St, Tampa, Florida |
| Authorized Official Name and Position | Margarita De La Rosa (CEO) |
| Authorized Official Contact | 8137699571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Well-being Community Center, Corp. 2706 W St Isabel St Tampa FL 33607-6382 Ph: (813) 769-9571 | Well-being Community Center, Corp. 2706 W St Isabel St Tampa FL 33607-6382 Ph: (813) 769-9571 |
| NPI Number | 1114430949 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 08/01/2022 |
| Certification Date | 08/01/2022 |
| Medicare PECOS PAC ID | 9133457534 |
|---|---|
| Medicare Enrollment ID | O20190822003896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114430949 | NPI | - | NPPES |
| 101692101 | Medicaid | FL | |
| 105731200 | Medicaid | FL | |
| 105731201 | Medicaid | FL | |
| 105430400 | Medicaid | FL | |
| 023311300 | Medicaid | FL | |
| 105482700 | Medicaid | FL | |
| 101692100 | Medicaid | FL |
| Provider Name | Francisco Machado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275598021 PECOS PAC ID: 9739210642 Enrollment ID: I20100621000691 |
| Provider Name | Kenechukwu Emeka Okeke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518377811 PECOS PAC ID: 1456604479 Enrollment ID: I20190115002753 |
| Provider Name | Sahily Andreu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144704578 PECOS PAC ID: 4789924473 Enrollment ID: I20190315000780 |
| Provider Name | Ana Cabrera-gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912470709 PECOS PAC ID: 4880920305 Enrollment ID: I20190722002436 |
| Provider Name | Luannys Zade Quesada Carvajal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437796000 PECOS PAC ID: 2769817337 Enrollment ID: I20200109000869 |
| Provider Name | Brandy Serret Quintana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538647672 PECOS PAC ID: 4981026515 Enrollment ID: I20200626001253 |
| Provider Name | Milagros V Vazquez Guach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164024204 PECOS PAC ID: 5193127942 Enrollment ID: I20210715002703 |
| Provider Name | Yasmin Vazquez Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477256964 PECOS PAC ID: 4587039029 Enrollment ID: I20230414000004 |
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