| Access Medical Centers LLC | |
|
8323 Nw 12th St Ste 109 Doral FL 33126-1839 | |
| (786) 800-9512 | |
| (786) 822-9514 |
| Full Name | Access Medical Centers LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 8323 Nw 12th St Ste 109, Doral, Florida |
| Authorized Official Name and Position | Darien a Martinez (MGR) |
| Authorized Official Contact | 7868009512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Medical Centers LLC 8323 Nw 12th St Ste 109 Doral FL 33126-1839 Ph: (786) 800-9512 | Access Medical Centers LLC 8323 Nw 12th St Ste 109 Doral FL 33126-1839 Ph: (786) 800-9512 |
| NPI Number | 1386247351 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/25/2022 |
| Medicare PECOS PAC ID | 4284040734 |
|---|---|
| Medicare Enrollment ID | O20210308001173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386247351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Pedro Christian Castellanos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730614926 PECOS PAC ID: 9739450594 Enrollment ID: I20190930000201 |
| Provider Name | Ivan a Bertot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356949192 PECOS PAC ID: 0143635508 Enrollment ID: I20210216003028 |
| Provider Name | Mariela Manzanares Angulo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689246191 PECOS PAC ID: 6800291543 Enrollment ID: I20210818004273 |
| Provider Name | Juan M Guzman Otero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992314058 PECOS PAC ID: 7618365362 Enrollment ID: I20211028002322 |
| Provider Name | Carlos J Hernandez Morffiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740947761 PECOS PAC ID: 7315337318 Enrollment ID: I20211207000164 |
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