| Ambert Medical Care Center Corp | |
|
15495 Eagle Nest Ln Suite 100 Miami Lakes FL 33014-2266 | |
| (305) 556-0071 | |
| (305) 556-0021 |
| Full Name | Ambert Medical Care Center Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 15495 Eagle Nest Ln, Miami Lakes, Florida |
| Authorized Official Name and Position | Ivan Lambert (PRESIDENT) |
| Authorized Official Contact | 3055560071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambert Medical Care Center Corp 15495 Eagle Nest Ln Suite 100 Miami Lakes FL 33014-2266 Ph: (305) 556-0021 | Ambert Medical Care Center Corp 15495 Eagle Nest Ln Suite 100 Miami Lakes FL 33014-2266 Ph: (305) 556-0071 |
| NPI Number | 1871711200 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 09/02/2014 |
| Medicare PECOS PAC ID | 6204915242 |
|---|---|
| Medicare Enrollment ID | O20080502000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871711200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Fernando A Bolufer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598784779 PECOS PAC ID: 6901882026 Enrollment ID: I20050521000045 |
| Provider Name | Yaima Lorely Abreu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306406301 PECOS PAC ID: 7719399476 Enrollment ID: I20201222001350 |
| Provider Name | Roselia Alonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861162083 PECOS PAC ID: 0547627721 Enrollment ID: I20230602000274 |
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