| Caremax Medical Center Of North Miami, L.l.c. | |
|
12996 W Dixie Hwy North Miami FL 33161-4810 | |
| (305) 592-5214 | |
| (786) 373-7229 |
| Full Name | Caremax Medical Center Of North Miami, L.l.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 12996 W Dixie Hwy, North Miami, Florida |
| Authorized Official Name and Position | Joseph N De Vera (RA) |
| Authorized Official Contact | 7862008305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caremax Medical Center Of North Miami, L.l.c. 1000 Nw 57th Ct Ste 400 Miami FL 33126-3292 Ph: (305) 649-8100 | Caremax Medical Center Of North Miami, L.l.c. 12996 W Dixie Hwy North Miami FL 33161-4810 Ph: (305) 592-5214 |
| NPI Number | 1013435924 |
|---|---|
| Provider Enumeration Date | 08/31/2017 |
| Last Update Date | 05/08/2023 |
| Medicare PECOS PAC ID | 4688914567 |
|---|---|
| Medicare Enrollment ID | O20190313001562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013435924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jose J Villar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1346353257 PECOS PAC ID: 8123090644 Enrollment ID: I20040806000262 |
| Provider Name | Rolando Guerra Iglesias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255940425 PECOS PAC ID: 6800283060 Enrollment ID: I20220419000671 |
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