| Omederos MD PA | |
|
15955 Bass Creek Rd Miramar FL 33027-3667 | |
| (786) 553-0177 | |
| Not Available |
| Full Name | Omederos MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 15955 Bass Creek Rd, Miramar, Florida |
| Authorized Official Name and Position | Orestes Mederos Trujillo (CEO) |
| Authorized Official Contact | 7865530177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omederos MD PA 500 Sw 145th Ave Apt 230 Pembroke Pines FL 33027-6209 | Omederos MD PA 15955 Bass Creek Rd Miramar FL 33027-3667 Ph: (786) 553-0177 |
| NPI Number | 1427853894 |
|---|---|
| Provider Enumeration Date | 02/18/2025 |
| Last Update Date | 03/03/2025 |
| Certification Date | 03/03/2025 |
| Medicare PECOS PAC ID | 2466962543 |
|---|---|
| Medicare Enrollment ID | O20250609000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427853894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Alejandro Suanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740734839 PECOS PAC ID: 5496017865 Enrollment ID: I20180322002517 |
| Provider Name | Damny Del Rio Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477122083 PECOS PAC ID: 2062804479 Enrollment ID: I20220114002310 |
| Provider Name | Orestes Mederos Trujillo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316456528 PECOS PAC ID: 0749514800 Enrollment ID: I20220527001663 |
| Provider Name | Jorge I Tirado Bientz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689212516 PECOS PAC ID: 6507238078 Enrollment ID: I20230209000926 |
| Provider Name | Henly Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962286369 PECOS PAC ID: 8921455676 Enrollment ID: I20250108003369 |
| Provider Name | Eugenia Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518569912 PECOS PAC ID: 4880184837 Enrollment ID: I20251107000445 |
| Provider Name | Gabriel J Barciela |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407558299 PECOS PAC ID: 9931567385 Enrollment ID: I20251117000329 |
Cintex Medical Center LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6245 Miramar Pkwy, Suite 101, Miramar, FL 33023 Phone: 954-364-4393 Fax: 954-364-4296 |
United Baptist Group of Broward Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14359 Miramar Pkwy, Suite 347, Miramar, FL 33027 Phone: 954-478-6299 |
Yaya Behavioral Health, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 Miramar Pkwy Ste 208a, Miramar, FL 33025 Phone: 954-674-8952 Fax: 954-674-8953 |
Wellness Medical Clinic and Geriatric Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12741 Miramar Pkwy, Building 2, Suite 104, Miramar, FL 33027 Phone: 954-392-9993 Fax: 954-392-5559 |
Sergio a Beltran MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4542 Sw 124th Ter, Miramar, FL 33027 Phone: 305-829-5653 |
Occupational Therapy & Wellness Centers of America, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11820 Miramar Pkwy Ste 110, Miramar, FL 33025 Phone: 954-870-0050 |