| Alfredo Melgar, MD PA | |
|
9090 Sw 87th Ct Ste 104 Miami FL 33176-2317 | |
| (305) 223-2436 | |
| Not Available |
| Full Name | Alfredo Melgar, MD PA |
|---|---|
| Speciality | General Practice |
| Location | 9090 Sw 87th Ct Ste 104, Miami, Florida |
| Authorized Official Name and Position | Alfredo Melgar (PRESIDENT) |
| Authorized Official Contact | 3058483998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfredo Melgar, MD PA 8901 Sw 82nd St Miami FL 33173-4129 Ph: (305) 848-3998 | Alfredo Melgar, MD PA 9090 Sw 87th Ct Ste 104 Miami FL 33176-2317 Ph: (305) 223-2436 |
| NPI Number | 1891047742 |
|---|---|
| Provider Enumeration Date | 10/02/2012 |
| Last Update Date | 02/18/2025 |
| Certification Date | 02/18/2025 |
| Medicare PECOS PAC ID | 9537310644 |
|---|---|
| Medicare Enrollment ID | O20121120000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891047742 | NPI | - | NPPES |
| 006636500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME1027962 (Florida) | Secondary |
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Alfredo J Melgar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093981912 PECOS PAC ID: 8426114398 Enrollment ID: I20090227000439 |
| Provider Name | Alvis J Linares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710386446 PECOS PAC ID: 5193038057 Enrollment ID: I20150721001684 |
| Provider Name | Liset Del Carmen De La Torre Aleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063888238 PECOS PAC ID: 1052667615 Enrollment ID: I20180712000372 |
| Provider Name | Fernando I Marroquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649723875 PECOS PAC ID: 9335487248 Enrollment ID: I20190218002635 |
| Provider Name | Milena T Castellanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881149615 PECOS PAC ID: 6507144391 Enrollment ID: I20190321003020 |
| Provider Name | Eduardo Colunga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912464710 PECOS PAC ID: 8224362280 Enrollment ID: I20190625001322 |
| Provider Name | Marcos Castellanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942755772 PECOS PAC ID: 9133550155 Enrollment ID: I20200507001209 |
| Provider Name | Monica Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538679113 PECOS PAC ID: 4981029618 Enrollment ID: I20200729000490 |
| Provider Name | Donna O Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245712686 PECOS PAC ID: 6709206428 Enrollment ID: I20201020000355 |
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