| Carewell Clinic Corp | |
|
14901 Nw 79th Ct Miami Lakes FL 33016-5856 | |
| (786) 936-8432 | |
| (786) 936-8433 |
| Full Name | Carewell Clinic Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 14901 Nw 79th Ct, Miami Lakes, Florida |
| Authorized Official Name and Position | Sandy Lopez (CEO) |
| Authorized Official Contact | 7864993499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carewell Clinic Corp 14901 Nw 79th Ct Miami Lakes FL 33016-5856 Ph: (786) 936-8432 | Carewell Clinic Corp 14901 Nw 79th Ct Miami Lakes FL 33016-5856 Ph: (786) 936-8432 |
| NPI Number | 1912734047 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 09/13/2024 |
| Medicare PECOS PAC ID | 8426568692 |
|---|---|
| Medicare Enrollment ID | O20250606001853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912734047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Juan M Velazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447522438 PECOS PAC ID: 6901054790 Enrollment ID: I20120920000290 |
| Provider Name | Jorge Serret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104330760 PECOS PAC ID: 5890024103 Enrollment ID: I20190912000599 |
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