| Bkb Med LLC | |
|
13814 Sw 152nd St Miami FL 33177-1164 | |
| (305) 305-1002 | |
| (305) 402-7714 |
| Full Name | Bkb Med LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 13814 Sw 152nd St, Miami, Florida |
| Authorized Official Name and Position | Yanet Garcia (APRN) |
| Authorized Official Contact | 3053051002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bkb Med LLC 13814 Sw 152nd St Miami FL 33177-1164 Ph: (305) 305-1002 | Bkb Med LLC 13814 Sw 152nd St Miami FL 33177-1164 Ph: (305) 305-1002 |
| NPI Number | 1629790340 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Medicare PECOS PAC ID | 0244616241 |
|---|---|
| Medicare Enrollment ID | O20220928002265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629790340 | NPI | - | NPPES |
| Provider Name | Amarilys Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043618903 PECOS PAC ID: 4981866597 Enrollment ID: I20151014000441 |
| Provider Name | Juan Lazaro Brito Villalon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184163974 PECOS PAC ID: 7214299676 Enrollment ID: I20180322001861 |
| Provider Name | Yanet Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487216222 PECOS PAC ID: 6800220088 Enrollment ID: I20191220001335 |
| Provider Name | Lirian D Leyva Reyes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841871019 PECOS PAC ID: 6204202351 Enrollment ID: I20221014002009 |
| Provider Name | Darly Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609646546 PECOS PAC ID: 8729593819 Enrollment ID: I20250716003971 |
| Provider Name | Yamile Garcia Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073384152 PECOS PAC ID: 0941777528 Enrollment ID: I20260430004552 |
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