| Cmp Medical Center Corp. | |
|
1797 Coral Way Miami FL 33145-2728 | |
| (786) 464-0673 | |
| (786) 464-0635 |
| Full Name | Cmp Medical Center Corp. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1797 Coral Way, Miami, Florida |
| Authorized Official Name and Position | Celida A Camber (PRESIDENT / OWNER) |
| Authorized Official Contact | 7864640673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmp Medical Center Corp. 10021 Sw 40th St Miami FL 33165-3945 Ph: (786) 464-0673 | Cmp Medical Center Corp. 1797 Coral Way Miami FL 33145-2728 Ph: (786) 464-0673 |
| NPI Number | 1578042610 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 08/05/2024 |
| Medicare PECOS PAC ID | 9133457401 |
|---|---|
| Medicare Enrollment ID | O20190823002363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578042610 | NPI | - | NPPES |
| Provider Name | Eduardo Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417146176 PECOS PAC ID: 7517056104 Enrollment ID: I20071205000016 |
| Provider Name | Jose A Guerra-valencia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154673770 PECOS PAC ID: 6507187051 Enrollment ID: I20150609001381 |
| Provider Name | Amy M Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912315714 PECOS PAC ID: 9830457258 Enrollment ID: I20171212002918 |
| Provider Name | Juan C Ruiz Bergon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457968968 PECOS PAC ID: 1254743271 Enrollment ID: I20201231001346 |
| Provider Name | Lazaro Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104093905 PECOS PAC ID: 6305247867 Enrollment ID: I20210622002731 |
| Provider Name | Nancy Acuna Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215518154 PECOS PAC ID: 3870994825 Enrollment ID: I20210628002409 |
| Provider Name | Maydenis Monzon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336790294 PECOS PAC ID: 6103212683 Enrollment ID: I20220409000207 |
| Provider Name | Maydibis Blanco Alonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083208599 PECOS PAC ID: 9335525351 Enrollment ID: I20220928003223 |
| Provider Name | Lazaro A Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124605571 PECOS PAC ID: 3476994799 Enrollment ID: I20240516003202 |
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