| Comprehensive Clinical Center | |
|
10201 Hammocks Blvd Ste 122 Miami FL 33196-3783 | |
| (786) 701-8702 | |
| (305) 397-2669 |
| Full Name | Comprehensive Clinical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 10201 Hammocks Blvd Ste 122, Miami, Florida |
| Authorized Official Name and Position | Gregorio Contreras Rodriguez (CEO) |
| Authorized Official Contact | 7867018702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Clinical Center 10201 Hammocks Blvd Ste 122 Miami FL 33196-3783 Ph: (786) 701-8702 | Comprehensive Clinical Center 10201 Hammocks Blvd Ste 122 Miami FL 33196-3783 Ph: (786) 701-8702 |
| NPI Number | 1275281461 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 08/07/2025 |
| Medicare PECOS PAC ID | 8426430240 |
|---|---|
| Medicare Enrollment ID | O20220726003234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275281461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Thalia Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235624842 PECOS PAC ID: 3779961966 Enrollment ID: I20220531001143 |
| Provider Name | Ileana Morcillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164032553 PECOS PAC ID: 2860874351 Enrollment ID: I20220730000337 |
| Provider Name | Heidy Aguila Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962273342 PECOS PAC ID: 7214376888 Enrollment ID: I20240415004157 |
| Provider Name | Camilo Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548845282 PECOS PAC ID: 8426593856 Enrollment ID: I20240710002629 |
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