| Ccr Medical Center, Llc. | |
|
8150 Sw 8th St Ste 201 Miami FL 33144-4273 | |
| (877) 227-6323 | |
| (888) 822-6668 |
| Full Name | Ccr Medical Center, Llc. |
|---|---|
| Speciality | Family Medicine |
| Location | 8150 Sw 8th St Ste 201, Miami, Florida |
| Authorized Official Name and Position | Angel Meza (ADMINISTRATOR) |
| Authorized Official Contact | 8772276323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccr Medical Center, Llc. 8150 Sw 8th St Ste 201 Miami FL 33144-4273 Ph: (877) 227-6323 | Ccr Medical Center, Llc. 8150 Sw 8th St Ste 201 Miami FL 33144-4273 Ph: (877) 227-6323 |
| NPI Number | 1518598119 |
|---|---|
| Provider Enumeration Date | 02/01/2020 |
| Last Update Date | 04/21/2025 |
| Medicare PECOS PAC ID | 0648608950 |
|---|---|
| Medicare Enrollment ID | O20200320000885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518598119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Juan Carlos Moises Gutierrez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659892693 PECOS PAC ID: 7012344468 Enrollment ID: I20200224002127 |
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