| Comprehensive Primary Care | |
|
4302 Alton Rd Suite 900 Miami Beach FL 33140-2891 | |
| (305) 534-4888 | |
| (305) 675-2788 |
| Full Name | Comprehensive Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 4302 Alton Rd, Miami Beach, Florida |
| Authorized Official Name and Position | Antonio Fernandez (CO PRESIDENT) |
| Authorized Official Contact | 3055329900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Primary Care 4302 Alton Rd Suite 900 Miami Beach FL 33140-2891 Ph: (305) 534-4888 | Comprehensive Primary Care 4302 Alton Rd Suite 900 Miami Beach FL 33140-2891 Ph: (305) 534-4888 |
| NPI Number | 1063462703 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 06/08/2015 |
| Medicare PECOS PAC ID | 5496766693 |
|---|---|
| Medicare Enrollment ID | O20060602000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063462703 | NPI | - | NPPES |
| 72605 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Florida) | Primary |
| Provider Name | Isidro Pujol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689624231 PECOS PAC ID: 5395756597 Enrollment ID: I20060908000413 |
| Provider Name | Antonio Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255383832 PECOS PAC ID: 4486665684 Enrollment ID: I20060908000417 |
| Provider Name | Maykel Rodriguez Trotter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801134465 PECOS PAC ID: 4981835667 Enrollment ID: I20140321000703 |
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