| Jorge L. Macia, M.d.& Rosa M. Marin M.d.,p.a. | |
|
115 Se 4th St Boynton Beach FL 33435-4905 | |
| (561) 732-2701 | |
| (561) 732-0354 |
| Full Name | Jorge L. Macia, M.d.& Rosa M. Marin M.d.,p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 115 Se 4th St, Boynton Beach, Florida |
| Authorized Official Name and Position | Jorge L Macia (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5617322701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge L. Macia, M.d.& Rosa M. Marin M.d.,p.a. 115 Se 4th St Boynton Beach FL 33435-4905 Ph: (561) 732-2701 | Jorge L. Macia, M.d.& Rosa M. Marin M.d.,p.a. 115 Se 4th St Boynton Beach FL 33435-4905 Ph: (561) 732-2701 |
| NPI Number | 1114113065 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 11/15/2022 |
| Medicare PECOS PAC ID | 3173542529 |
|---|---|
| Medicare Enrollment ID | O20051115001091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114113065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME72263 (Florida) | Primary |
| Provider Name | Rosa M Marin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922165539 PECOS PAC ID: 4183795651 Enrollment ID: I20080611000755 |
| Provider Name | Jorge L Macia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851486468 PECOS PAC ID: 1355360702 Enrollment ID: I20101020000185 |
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