| My Doral Research Llc | |
|
5881 Nw 151st St Ste 218 Miami Lakes FL 33014-2456 | |
| (786) 536-2463 | |
| (786) 536-2468 |
| Full Name | My Doral Research Llc |
|---|---|
| Speciality | General Practice |
| Location | 5881 Nw 151st St Ste 218, Miami Lakes, Florida |
| Authorized Official Name and Position | Yairanne Rodriguez (ONWER) |
| Authorized Official Contact | 7865362463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Doral Research Llc 5881 Nw 151st St Ste 218 Miami Lakes FL 33014-2456 Ph: (786) 536-2463 | My Doral Research Llc 5881 Nw 151st St Ste 218 Miami Lakes FL 33014-2456 Ph: (786) 536-2463 |
| NPI Number | 1124867346 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Medicare PECOS PAC ID | 1658808449 |
|---|---|
| Medicare Enrollment ID | O20241218000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124867346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Yairanne Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811489271 PECOS PAC ID: 3577802602 Enrollment ID: I20190306003125 |
| Provider Name | Mislaidy Caraballe Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144793811 PECOS PAC ID: 9032510698 Enrollment ID: I20210702001104 |
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