| Green Mountain Med Con, Inc | |
|
8175 Nw 12th St Ste 221 Doral FL 33126-1828 | |
| (786) 580-4957 | |
| (786) 773-5259 |
| Full Name | Green Mountain Med Con, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 8175 Nw 12th St Ste 221, Doral, Florida |
| Authorized Official Name and Position | Claudia Fundora (PRESIDENT) |
| Authorized Official Contact | 7865712788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Mountain Med Con, Inc 7925 Nw 12th St Ste 325 Doral FL 33126-1846 Ph: (786) 580-4957 | Green Mountain Med Con, Inc 8175 Nw 12th St Ste 221 Doral FL 33126-1828 Ph: (786) 580-4957 |
| NPI Number | 1194330340 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 06/24/2025 |
| Medicare PECOS PAC ID | 2264811868 |
|---|---|
| Medicare Enrollment ID | O20220627003577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194330340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Sara N Llerena |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487667994 PECOS PAC ID: 1153392600 Enrollment ID: I20040806000207 |
| Provider Name | Yanet Diaz-martell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578024600 PECOS PAC ID: 3971984667 Enrollment ID: I20220712003247 |
| Provider Name | Sandra Rua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962026278 PECOS PAC ID: 5395121578 Enrollment ID: I20220927000546 |
| Provider Name | Misleidys Rivero Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053014191 PECOS PAC ID: 3870023070 Enrollment ID: I20250203002704 |
| Provider Name | Julio Cesar Pelaez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871065334 PECOS PAC ID: 4789105685 Enrollment ID: I20250307002340 |
| Provider Name | Liliana De Los Angeles Acosta Cabadilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750089074 PECOS PAC ID: 3274057310 Enrollment ID: I20250409003868 |
Armando Pineda-velez M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8181 Nw 36th Street Suite 9, Suite # 210, Doral, FL 33166 Phone: 305-301-9322 Fax: 305-436-3781 | |
Texas Provider Health Network, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3750 Nw 87th Ave Ste 500, Doral, FL 33178 Phone: 305-284-7484 | |
Dade County Rehab Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Nw 79th Ave Ste 820, Doral, FL 33166 Phone: 305-597-0180 Fax: 305-597-0180 | |
Centro Medico Hispano Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9300 Nw 25th St, 209, Doral, FL 33172 Phone: 305-647-7383 Fax: 786-534-3568 | |
Prohealth Doral Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8247 Nw 36th St, Doral, FL 33166 Phone: 786-422-4309 | |
Adonai Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Nw 78th Ave Ste 212, Doral, FL 33126 Phone: 786-393-0315 | |
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