| Camillus Health Concern Inc | |
|
336 Nw 5th St Miami FL 33128-1616 | |
| (305) 577-4840 | |
| (305) 373-7431 |
| Full Name | Camillus Health Concern Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 336 Nw 5th St, Miami, Florida |
| Authorized Official Name and Position | Francis Afram-gyening (CEO) |
| Authorized Official Contact | 3055774840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Camillus Health Concern Inc 336 Nw 5th St Miami FL 33128-1616 Ph: (305) 577-4840 | Camillus Health Concern Inc 336 Nw 5th St Miami FL 33128-1616 Ph: (305) 577-4840 |
| NPI Number | 1861402869 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 11/09/2017 |
| Medicare PECOS PAC ID | 4688575210 |
|---|---|
| Medicare Enrollment ID | O20040116000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861402869 | NPI | - | NPPES |
| 680002500 | Medicaid | FL | |
| 680002501 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Roberto F Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265452999 PECOS PAC ID: 0648298281 Enrollment ID: I20051102000947 |
| Provider Name | Phu H Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801823778 PECOS PAC ID: 8325051857 Enrollment ID: I20060728000123 |
| Provider Name | Alfred G Jonas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568568822 PECOS PAC ID: 7810924545 Enrollment ID: I20070623000080 |
| Provider Name | Rose M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366619215 PECOS PAC ID: 7810058146 Enrollment ID: I20081205000141 |
| Provider Name | Jesse Faxas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164454799 PECOS PAC ID: 1951571850 Enrollment ID: I20110901000486 |
| Provider Name | Liliana Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447571146 PECOS PAC ID: 2163694613 Enrollment ID: I20111006000150 |
| Provider Name | Mohammad Asim Nisar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437444791 PECOS PAC ID: 1759546062 Enrollment ID: I20120711000140 |
| Provider Name | James O Coffey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336341528 PECOS PAC ID: 1759539323 Enrollment ID: I20120924000821 |
| Provider Name | Jim Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639331093 PECOS PAC ID: 2961636824 Enrollment ID: I20131008000691 |
| Provider Name | Saraswati Iobst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740419951 PECOS PAC ID: 1850423195 Enrollment ID: I20151201001496 |
| Provider Name | Carlos Brito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740731777 PECOS PAC ID: 5395026439 Enrollment ID: I20170103000780 |
| Provider Name | Mercedes Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699224105 PECOS PAC ID: 1456622273 Enrollment ID: I20170811001724 |
| Provider Name | Christoph A Sahar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033145859 PECOS PAC ID: 7315953924 Enrollment ID: I20170831000169 |
| Provider Name | Diana Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871016469 PECOS PAC ID: 7618235987 Enrollment ID: I20171213002797 |
| Provider Name | Joseph Stephen Mensch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851478580 PECOS PAC ID: 5193063253 Enrollment ID: I20190214002251 |
| Provider Name | Rebekah Felicia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710387899 PECOS PAC ID: 4183941388 Enrollment ID: I20190320001322 |
| Provider Name | Leidy Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841859170 PECOS PAC ID: 6608102249 Enrollment ID: I20190719001936 |
| Provider Name | Odalys Cabrera-pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427466390 PECOS PAC ID: 0749614691 Enrollment ID: I20191231000322 |
| Provider Name | Ana Dirube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083128227 PECOS PAC ID: 9335577758 Enrollment ID: I20200318002386 |
| Provider Name | Chandra M Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649707597 PECOS PAC ID: 5092084889 Enrollment ID: I20200415002250 |
| Provider Name | Andrelle Franck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801446398 PECOS PAC ID: 2466875851 Enrollment ID: I20200701002342 |
| Provider Name | Nicholas C Gottert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295115012 PECOS PAC ID: 3476880261 Enrollment ID: I20210120000747 |
| Provider Name | Evaristo Manuel Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609401751 PECOS PAC ID: 2163823469 Enrollment ID: I20210624000279 |
| Provider Name | Carmen Elena De La Torre |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1093892150 PECOS PAC ID: 3779895917 Enrollment ID: I20211201002581 |
| Provider Name | Rafael Bernard Alfonso |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1669546784 PECOS PAC ID: 6507121019 Enrollment ID: I20220720000121 |
| Provider Name | Olivia Alba Alonso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477140010 PECOS PAC ID: 1153703947 Enrollment ID: I20220726001785 |
| Provider Name | Eglis Tomas Carralero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619634672 PECOS PAC ID: 4981072113 Enrollment ID: I20221121000166 |
| Provider Name | Zoany De La Rosa |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386273381 PECOS PAC ID: 8628441516 Enrollment ID: I20230223000849 |
| Provider Name | Tobias Nobigrot |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770528077 PECOS PAC ID: 8224278874 Enrollment ID: I20231030001637 |
| Provider Name | Hector Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659036234 PECOS PAC ID: 2567805799 Enrollment ID: I20240205003116 |
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