| Neurology Mobile System Associates,inc | |
|
10661 Sw 88th St Ste 104 Miami FL 33176-1593 | |
| (305) 270-7771 | |
| (305) 270-7775 |
| Full Name | Neurology Mobile System Associates,inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10661 Sw 88th St Ste 104, Miami, Florida |
| Authorized Official Name and Position | Sergio Sacchettoni (OWNER) |
| Authorized Official Contact | 3052707771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Mobile System Associates,inc 10661 Sw 88th St Ste 104 Miami FL 33176-1593 Ph: (305) 270-7771 | Neurology Mobile System Associates,inc 10661 Sw 88th St Ste 104 Miami FL 33176-1593 Ph: (305) 270-7771 |
| NPI Number | 1871891655 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 09/30/2022 |
| Certification Date | 09/30/2022 |
| Medicare PECOS PAC ID | 6406837467 |
|---|---|
| Medicare Enrollment ID | O20260225004275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871891655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| Provider Name | Raul E Carballosa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992728448 PECOS PAC ID: 6800804527 Enrollment ID: I20060322000405 |
| Provider Name | Lliliam Cordero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124853437 PECOS PAC ID: 8820415953 Enrollment ID: I20260226001625 |
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