| Davina Medical Care, P.a. | |
|
151 Nw 11th St Suite: E-304 Homestead FL 33030-4360 | |
| (305) 245-8787 | |
| (305) 245-8778 |
| Full Name | Davina Medical Care, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 151 Nw 11th St, Homestead, Florida |
| Authorized Official Name and Position | Luisa M Lopez-luciano (DOCTOR) |
| Authorized Official Contact | 3052458787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davina Medical Care, P.a. 151 Nw 11th St Suite: E-304 Homestead FL 33030-4360 Ph: (305) 245-8787 | Davina Medical Care, P.a. 151 Nw 11th St Suite: E-304 Homestead FL 33030-4360 Ph: (305) 245-8787 |
| NPI Number | 1053363697 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 7517979982 |
|---|---|
| Medicare Enrollment ID | O20060629000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053363697 | NPI | - | NPPES |
| ME84057 | Other | FL | ME # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME84057 (Florida) | Primary |
| Provider Name | Luisa M Lopez-luciano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558313627 PECOS PAC ID: 2062424435 Enrollment ID: I20060629000277 |
| Provider Name | Erika Lara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407241144 PECOS PAC ID: 0446567788 Enrollment ID: I20190108003990 |
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