| Excellence Care Florida LLC | |
|
4005 Nw 114th Ave Unit 22 Doral FL 33178-4373 | |
| (786) 366-2050 | |
| Not Available |
| Full Name | Excellence Care Florida LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 4005 Nw 114th Ave Unit 22, Doral, Florida |
| Authorized Official Name and Position | Ernesto Guevara (CEO/AMBR) |
| Authorized Official Contact | 7863662050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellence Care Florida LLC 14113 Sw 161st Ct Miami FL 33196-6543 Ph: (786) 366-2050 | Excellence Care Florida LLC 4005 Nw 114th Ave Unit 22 Doral FL 33178-4373 Ph: (786) 366-2050 |
| NPI Number | 1013684992 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 07/28/2025 |
| Certification Date | 07/28/2025 |
| Medicare PECOS PAC ID | 3678971264 |
|---|---|
| Medicare Enrollment ID | O20211012003004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013684992 | NPI | - | NPPES |
| Provider Name | Nelson Andino Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851760060 PECOS PAC ID: 3072801257 Enrollment ID: I20161004002727 |
| Provider Name | Dhaima Chin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407392111 PECOS PAC ID: 7113201708 Enrollment ID: I20170227001698 |
| Provider Name | Ernesto Guevara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093342818 PECOS PAC ID: 5890115505 Enrollment ID: I20201019003232 |
| Provider Name | Joel L De La Torre Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124452339 PECOS PAC ID: 7618353145 Enrollment ID: I20221006000139 |
| Provider Name | Maria Mirabal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073240032 PECOS PAC ID: 1153797691 Enrollment ID: I20221025000528 |
| Provider Name | Adrian a Robaina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962115675 PECOS PAC ID: 4486010204 Enrollment ID: I20230522002033 |
| Provider Name | Yanet Perez Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437846037 PECOS PAC ID: 2264884667 Enrollment ID: I20240122003334 |
| Provider Name | Margarita Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770340846 PECOS PAC ID: 9739529991 Enrollment ID: I20240504000266 |
| Provider Name | Dayana Vila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063270783 PECOS PAC ID: 8022556018 Enrollment ID: I20240821004395 |
| Provider Name | Vivian Pazos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669204582 PECOS PAC ID: 6002186962 Enrollment ID: I20251205000919 |
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