| Preventive And Primary Care Medical Center Inc | |
|
10250 Sw 56th St Suite C101 Miami FL 33165-7069 | |
| (786) 558-8901 | |
| (786) 558-8917 |
| Full Name | Preventive And Primary Care Medical Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 10250 Sw 56th St, Miami, Florida |
| Authorized Official Name and Position | Magalis Villalba (CO-OWNER) |
| Authorized Official Contact | 7865588901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive And Primary Care Medical Center Inc 10250 Sw 56th St Suite C101 Miami FL 33165-7069 Ph: (786) 558-8901 | Preventive And Primary Care Medical Center Inc 10250 Sw 56th St Suite C101 Miami FL 33165-7069 Ph: (786) 558-8901 |
| NPI Number | 1669742003 |
|---|---|
| Provider Enumeration Date | 01/02/2012 |
| Last Update Date | 10/06/2022 |
| Medicare PECOS PAC ID | 1052553609 |
|---|---|
| Medicare Enrollment ID | O20130809000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669742003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Myriam D Lacayo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265472468 PECOS PAC ID: 9739080763 Enrollment ID: I20040114000223 |
| Provider Name | Cesar L Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811971609 PECOS PAC ID: 4981517851 Enrollment ID: I20160505000706 |
| Provider Name | Nelson F Villar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669025904 PECOS PAC ID: 4880021765 Enrollment ID: I20200305002615 |
| Provider Name | Melvis Villar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760941959 PECOS PAC ID: 4284962036 Enrollment ID: I20220706002443 |
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