| Lifelong Care Corp | |
|
259 E 49th St Hialeah FL 33013 | |
| (305) 918-2021 | |
| (786) 677-8444 |
| Full Name | Lifelong Care Corp |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 259 E 49th St, Hialeah, Florida |
| Authorized Official Name and Position | Rosbel Mirabal Rodriguez (FNP / OWNER) |
| Authorized Official Contact | 7862385581 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifelong Care Corp 259 E 49th St Hialeah FL 33013-1854 Ph: (786) 776-2021 | Lifelong Care Corp 259 E 49th St Hialeah FL 33013 Ph: (305) 918-2021 |
| NPI Number | 1851968291 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 01/07/2025 |
| Medicare PECOS PAC ID | 0749582468 |
|---|---|
| Medicare Enrollment ID | O20160112001179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851968291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Rosbel Mirabal Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831592377 PECOS PAC ID: 2466754189 Enrollment ID: I20160112001417 |
| Provider Name | Gustavo Emilio Pena-lagrave |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427216571 PECOS PAC ID: 5991133399 Enrollment ID: I20200318001722 |
| Provider Name | Claudia Cuevas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609490044 PECOS PAC ID: 4486020849 Enrollment ID: I20221026002224 |
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