| De La Vega Medical Center, Llc | |
|
11093 Nw 138 Street, Suite 121 Hialeah Gardens FL 33018 | |
| (786) 600-4040 | |
| (786) 953-5174 |
| Full Name | De La Vega Medical Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11093 Nw 138 Street, Suite 121, Hialeah Gardens, Florida |
| Authorized Official Name and Position | Jose R Perez (MANAGER) |
| Authorized Official Contact | 7866004040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| De La Vega Medical Center, Llc 11093 Nw 138 Street, Suite 121 Hialeah Gardens FL 33018 Ph: () - | De La Vega Medical Center, Llc 11093 Nw 138 Street, Suite 121 Hialeah Gardens FL 33018 Ph: (786) 600-4040 |
| NPI Number | 1861907677 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 08/31/2018 |
| Medicare PECOS PAC ID | 8820338585 |
|---|---|
| Medicare Enrollment ID | O20190318000798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861907677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Dagoberto De La Vega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114979671 PECOS PAC ID: 8527013762 Enrollment ID: I20050324000042 |
Anarella Abrantes, Md Pplc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8474 Nw 103rd St # G201, Hialeah Gardens, FL 33016 Phone: 786-253-1330 | |
Context Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10550 Nw 77th Ct, Suite 305, Hialeah Gardens, FL 33016 Phone: 305-826-3072 Fax: 305-826-3046 | |
Migarau Medical Center Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11300 Nw 87th Ct, Suite 155, Hialeah Gardens, FL 33018 Phone: 305-216-8023 | |
D De La Vega Md P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11093 Nw 138th St Unit 112, Hialeah Gardens, FL 33018 Phone: 305-552-0303 Fax: 305-554-0709 | |
Hialeah Medical Associates, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8074 Nw 103rd St, Suite 20, Hialeah Gardens, FL 33016 Phone: 305-826-4307 Fax: 305-826-6790 | |
Eden Medical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8302 Nw 103rd St Ste 201, Hialeah Gardens, FL 33016 Phone: 786-374-9928 | |
D & J Medical Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10550 Nw 77th Ct, Suite 313, Hialeah Gardens, FL 33016 Phone: 305-824-5005 Fax: 305-824-5020 |