| Compassionate Medical Center Inc. | |
|
1485 37th St Ste 102 Vero Beach FL 32960-6518 | |
| (772) 567-4336 | |
| (772) 567-4340 |
| Full Name | Compassionate Medical Center Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1485 37th St Ste 102, Vero Beach, Florida |
| Authorized Official Name and Position | Nicholas A Coppola (OWNER) |
| Authorized Official Contact | 7725674336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Medical Center Inc. Po Box 401 Vero Beach FL 32961-0401 Ph: (772) 567-4336 | Compassionate Medical Center Inc. 1485 37th St Ste 102 Vero Beach FL 32960-6518 Ph: (772) 567-4336 |
| NPI Number | 1740200211 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 07/24/2012 |
| Medicare PECOS PAC ID | 5496788853 |
|---|---|
| Medicare Enrollment ID | O20220901002672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740200211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS07348 (Florida) | Primary |
| Provider Name | Christopher R Coppola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003803909 PECOS PAC ID: 6507753969 Enrollment ID: I20040301000856 |
| Provider Name | Yaolen Bolanos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942402045 PECOS PAC ID: 1850434788 Enrollment ID: I20100201000487 |
| Provider Name | Rogelio O Bardinas Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043458326 PECOS PAC ID: 9638351745 Enrollment ID: I20110310000858 |
| Provider Name | Naji Nouneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699708222 PECOS PAC ID: 1052395787 Enrollment ID: I20130501000353 |
| Provider Name | Summer M Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396018404 PECOS PAC ID: 8820219892 Enrollment ID: I20141016002582 |
| Provider Name | Santos Ruiz Cordero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598976557 PECOS PAC ID: 0143292797 Enrollment ID: I20141027000459 |
| Provider Name | Pedro Gonzalez Amaro |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558613000 PECOS PAC ID: 6103140173 Enrollment ID: I20150122000122 |
| Provider Name | Regina Cocci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881083665 PECOS PAC ID: 0749328953 Enrollment ID: I20180419000430 |
| Provider Name | Aurelia B Leblanc Nunez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477049153 PECOS PAC ID: 0648515890 Enrollment ID: I20181217003139 |
| Provider Name | Milagros Pichardo Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902217706 PECOS PAC ID: 8921371915 Enrollment ID: I20200615000986 |
| Provider Name | Christopher Vivas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972850154 PECOS PAC ID: 2163776204 Enrollment ID: I20200727001710 |
| Provider Name | Jorge Manuel Gomez Vizcarra |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366911471 PECOS PAC ID: 0244635662 Enrollment ID: I20210824001388 |
| Provider Name | Felipe Diaz Rizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659974459 PECOS PAC ID: 1355731506 Enrollment ID: I20211202002740 |
| Provider Name | Andres Michel Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235796277 PECOS PAC ID: 7911383435 Enrollment ID: I20221005003797 |
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