| Floridian Health Centers, Llc | |
|
17395 Nw 59th Ave Hialeah FL 33015 | |
| (305) 662-2185 | |
| (305) 826-2600 |
| Full Name | Floridian Health Centers, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17395 Nw 59th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Antolin Benitez (CEO) |
| Authorized Official Contact | 3054910379 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Floridian Health Centers, Llc 14791 Oak Ln Miami Lakes FL 33016-1518 Ph: (305) 491-0379 | Floridian Health Centers, Llc 17395 Nw 59th Ave Hialeah FL 33015 Ph: (305) 662-2185 |
| NPI Number | 1093481178 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 07/12/2024 |
| Medicare PECOS PAC ID | 9436527686 |
|---|---|
| Medicare Enrollment ID | O20221121000572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093481178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Isailys Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679131734 PECOS PAC ID: 4385057694 Enrollment ID: I20210106000031 |
| Provider Name | Ivan Garcia Alonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417590860 PECOS PAC ID: 6406262310 Enrollment ID: I20210301001510 |
| Provider Name | Orestes L Mederos Trujillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316456528 PECOS PAC ID: 0749514800 Enrollment ID: I20220527001663 |
| Provider Name | Amely Perez Cicili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023648474 PECOS PAC ID: 8224565031 Enrollment ID: I20241218000764 |
| Provider Name | Mirtha E Bauza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992578868 PECOS PAC ID: 7618404377 Enrollment ID: I20241219002889 |
| Provider Name | Jose Angel Rosales Carrazana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336740448 PECOS PAC ID: 1254861529 Enrollment ID: I20250217001055 |
| Provider Name | Maria Del Carmen Leon Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780281501 PECOS PAC ID: 3274053590 Enrollment ID: I20250217003000 |
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