| La Doctora Terapista Llc | |
|
7512 Nw 107th Pl Doral FL 33178-2197 | |
| (786) 602-6548 | |
| Not Available |
| Full Name | La Doctora Terapista Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7512 Nw 107th Pl, Doral, Florida |
| Authorized Official Name and Position | Erlinda Silva (OWNER) |
| Authorized Official Contact | 7866026548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Doctora Terapista Llc 7512 Nw 107th Pl Doral FL 33178-2197 Ph: (786) 602-6548 | La Doctora Terapista Llc 7512 Nw 107th Pl Doral FL 33178-2197 Ph: (786) 602-6548 |
| NPI Number | 1528637303 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 06/24/2021 |
| Medicare PECOS PAC ID | 0244620250 |
|---|---|
| Medicare Enrollment ID | O20211207000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528637303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Wilfredo Canales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487792461 PECOS PAC ID: 1052489390 Enrollment ID: I20081014000238 |
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