| Grisel Mac Williams MD PA | |
|
810 E 39th Pl Hialeah FL 33013-2863 | |
| (305) 691-7018 | |
| (305) 691-5814 |
| Full Name | Grisel Mac Williams MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 810 E 39th Pl, Hialeah, Florida |
| Authorized Official Name and Position | Michel Diaz (OFFICE MANAGER) |
| Authorized Official Contact | 3056917018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grisel Mac Williams MD PA 810 E 39th Pl Hialeah FL 33013-2863 Ph: (305) 691-7018 | Grisel Mac Williams MD PA 810 E 39th Pl Hialeah FL 33013-2863 Ph: (305) 691-7018 |
| NPI Number | 1083910202 |
|---|---|
| Provider Enumeration Date | 02/05/2011 |
| Last Update Date | 04/02/2024 |
| Certification Date | 04/02/2024 |
| Medicare PECOS PAC ID | 8325226475 |
|---|---|
| Medicare Enrollment ID | O20110621000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083910202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Grisel Mac Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053396549 PECOS PAC ID: 7315125465 Enrollment ID: I20110714000543 |
| Provider Name | Paula C Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588005797 PECOS PAC ID: 0042446106 Enrollment ID: I20131119001084 |
| Provider Name | Natasha Graciela Morejon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083094700 PECOS PAC ID: 7719277193 Enrollment ID: I20160526002160 |
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