| Centerwell Senior Primary Care Tx Cs Pa | |
|
6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 | |
| (407) 447-7120 | |
| (407) 770-0661 |
| Full Name | Centerwell Senior Primary Care Tx Cs Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6101 Blue Lagoon Dr Ste 200, Miami, Florida |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care Tx Cs Pa 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (407) 447-7120 | Centerwell Senior Primary Care Tx Cs Pa 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (407) 447-7120 |
| NPI Number | 1659172112 |
|---|---|
| Provider Enumeration Date | 03/21/2025 |
| Last Update Date | 03/21/2025 |
| Medicare PECOS PAC ID | 0941719751 |
|---|---|
| Medicare Enrollment ID | O20250603002826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659172112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose A Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053346379 PECOS PAC ID: 5698865483 Enrollment ID: I20071217000675 |
| Provider Name | Iris Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205436839 PECOS PAC ID: 8527465590 Enrollment ID: I20210920000534 |
| Provider Name | Alyson Clegg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518618578 PECOS PAC ID: 8921493743 Enrollment ID: I20240106000971 |
Miami Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15806 Sw 98th St, Miami, FL 33196 Phone: 305-586-9812 | |
Medserve Of Dade County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15328 Nw 7th Ave, Miami, FL 33169 Phone: 786-235-0103 Fax: 305-681-5620 | |
Ontime Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7392 Nw 35th Ter, 306, Miami, FL 33122 Phone: 786-331-7886 | |
Dagmar Lemus Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Nw 14th St, Suite 303, Miami, FL 33125 Phone: 305-548-4005 Fax: 305-548-4055 | |
Midway Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8360 W Flagler St, Suite 100, Miami, FL 33144 Phone: 305-554-7200 Fax: 305-554-8173 | |
Mario L Nunez M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9075 Sw 87th Ave, Suite#414, Miami, FL 33176 Phone: 305-596-9800 Fax: 305-596-9808 | |
Alberto Iglesias Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7801 Coral Way, Suite 125, Miami, FL 33155 Phone: 305-266-1183 |