| Leticia Comprehensive Care LLC | |
|
14750 Nw 77th Ct Ste 304d Hialeah FL 33016-1537 | |
| (305) 203-4060 | |
| (305) 938-8044 |
| Full Name | Leticia Comprehensive Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 14750 Nw 77th Ct Ste 304d, Hialeah, Florida |
| Authorized Official Name and Position | Leticia Gutierrez Reyes (OWNER) |
| Authorized Official Contact | 3052034060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leticia Comprehensive Care LLC 14750 Nw 77th Ct Ste 304d Hialeah FL 33016-1537 Ph: (305) 203-4060 | Leticia Comprehensive Care LLC 14750 Nw 77th Ct Ste 304d Hialeah FL 33016-1537 Ph: (305) 203-4060 |
| NPI Number | 1518859735 |
|---|---|
| Provider Enumeration Date | 07/21/2025 |
| Last Update Date | 07/21/2025 |
| Certification Date | 07/21/2025 |
| Medicare PECOS PAC ID | 9931670833 |
|---|---|
| Medicare Enrollment ID | O20260602000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518859735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Leticia Gutierrez Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982417960 PECOS PAC ID: 1557832458 Enrollment ID: I20260602000814 |
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