| All Inclusive Preventive Care LLC | |
|
16361 Nw 57th Ave Miami Lakes FL 33014-6116 | |
| (305) 200-3141 | |
| (786) 332-3854 |
| Full Name | All Inclusive Preventive Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 16361 Nw 57th Ave, Miami Lakes, Florida |
| Authorized Official Name and Position | Evelyn Rodriguez (MANAGING MEMBER) |
| Authorized Official Contact | 7868978975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Inclusive Preventive Care LLC 16361 Nw 57th Ave Miami Lakes FL 33014-6116 Ph: (305) 200-3141 | All Inclusive Preventive Care LLC 16361 Nw 57th Ave Miami Lakes FL 33014-6116 Ph: (305) 200-3141 |
| NPI Number | 1013501113 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 06/09/2026 |
| Certification Date | 06/09/2026 |
| Medicare PECOS PAC ID | 0143623801 |
|---|---|
| Medicare Enrollment ID | O20210720000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013501113 | NPI | - | NPPES |
| 110595900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (NU) | Secondary |
| Provider Name | Antonio E Terrelonge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386757102 PECOS PAC ID: 7911957923 Enrollment ID: I20050127000542 |
| Provider Name | Adrian a Villarreal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306106877 PECOS PAC ID: 5294967857 Enrollment ID: I20170818002660 |
| Provider Name | Evelyn Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700355641 PECOS PAC ID: 0345583373 Enrollment ID: I20190515001195 |
| Provider Name | Diusnaidy Dominguez Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033754635 PECOS PAC ID: 2466883855 Enrollment ID: I20220829001328 |
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