| Miami Gastro At The Keys, P.a. | |
|
103400 Overseas Hwy Ste 251 Key Largo FL 33037-2831 | |
| (786) 589-5298 | |
| (509) 420-9737 |
| Full Name | Miami Gastro At The Keys, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 103400 Overseas Hwy Ste 251, Key Largo, Florida |
| Authorized Official Name and Position | Danny Juan Avalos (OWNER) |
| Authorized Official Contact | 7865895298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Gastro At The Keys, P.a. Po Box 801240 Miami FL 33280-1240 Ph: (786) 589-5298 | Miami Gastro At The Keys, P.a. 103400 Overseas Hwy Ste 251 Key Largo FL 33037-2831 Ph: (786) 589-5298 |
| NPI Number | 1497482160 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/03/2022 |
| Medicare PECOS PAC ID | 2860858248 |
|---|---|
| Medicare Enrollment ID | O20230510002743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497482160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Danny J Avalos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154664118 PECOS PAC ID: 9234414863 Enrollment ID: I20190521002706 |
| Provider Name | Irma B Velazquez Salcedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245992098 PECOS PAC ID: 1254797418 Enrollment ID: I20230515001928 |
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