| Meraki Primary Care Corp | |
|
2828 Sw 22nd St Ste 205 Miami FL 33145-3233 | |
| (305) 988-8089 | |
| (308) 888-6691 |
| Full Name | Meraki Primary Care Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 2828 Sw 22nd St Ste 205, Miami, Florida |
| Authorized Official Name and Position | Yeiniel Rodriguez Torrado (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3057665994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meraki Primary Care Corp 2828 Sw 22nd St Ste 205 Miami FL 33145-3233 Ph: (305) 988-8089 | Meraki Primary Care Corp 2828 Sw 22nd St Ste 205 Miami FL 33145-3233 Ph: (305) 988-8089 |
| NPI Number | 1255157277 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 01/26/2026 |
| Certification Date | 01/26/2026 |
| Medicare PECOS PAC ID | 8820501976 |
|---|---|
| Medicare Enrollment ID | O20250701003395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255157277 | NPI | - | NPPES |
| 1801423868 | Medicaid | FL | |
| 1902434103 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Yeiniel Rodriguez Torrado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053948422 PECOS PAC ID: 5799107843 Enrollment ID: I20230721002135 |
| Provider Name | Doraysy Lauzan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598441032 PECOS PAC ID: 2466965512 Enrollment ID: I20251209000401 |
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