| Danet Pico-larralde Md Pa | |
|
8785 Sw 165th Ave Suite 201 Miami FL 33193-5826 | |
| (786) 828-7171 | |
| (786) 391-4582 |
| Full Name | Danet Pico-larralde Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 8785 Sw 165th Ave, Miami, Florida |
| Authorized Official Name and Position | Danet Pico-larralde (OWNER) |
| Authorized Official Contact | 3056083910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danet Pico-larralde Md Pa 8785 Sw 165th Ave Suite 201 Miami FL 33193-5826 Ph: (786) 828-7171 | Danet Pico-larralde Md Pa 8785 Sw 165th Ave Suite 201 Miami FL 33193-5826 Ph: (786) 828-7171 |
| NPI Number | 1194267773 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 11/14/2016 |
| Medicare PECOS PAC ID | 9335418508 |
|---|---|
| Medicare Enrollment ID | O20170630001632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194267773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME99952 (Florida) | Primary |
| Provider Name | Danet Pico-larralde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669667796 PECOS PAC ID: 0345324992 Enrollment ID: I20080221000255 |
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