| Primary Medical Physicians, Llc | |
|
7050 Taft St Hollywood FL 33024-3804 | |
| (305) 992-0659 | |
| (954) 563-6048 |
| Full Name | Primary Medical Physicians, Llc |
|---|---|
| Speciality | General Practice |
| Location | 7050 Taft St, Hollywood, Florida |
| Authorized Official Name and Position | Ramon Berenguer (MD) |
| Authorized Official Contact | 9543999014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Medical Physicians, Llc 7050 Taft St Hollywood FL 33024-3804 Ph: (305) 992-0659 | Primary Medical Physicians, Llc 7050 Taft St Hollywood FL 33024-3804 Ph: (305) 992-0659 |
| NPI Number | 1225622095 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 11/30/2023 |
| Medicare PECOS PAC ID | 4183016991 |
|---|---|
| Medicare Enrollment ID | O20220127001436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225622095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Oswaldo S Sandoval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861435760 PECOS PAC ID: 8628974482 Enrollment ID: I20031211000392 |
| Provider Name | Moises Issa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558357780 PECOS PAC ID: 8325945447 Enrollment ID: I20031217000354 |
| Provider Name | William Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568427078 PECOS PAC ID: 5496647778 Enrollment ID: I20040330000320 |
| Provider Name | Ramon A Berenguer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154307874 PECOS PAC ID: 1557337656 Enrollment ID: I20040909000800 |
| Provider Name | Ruth T Catignas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285804682 PECOS PAC ID: 9739259920 Enrollment ID: I20080530000125 |
| Provider Name | Pedro Christian Castellanos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730614926 PECOS PAC ID: 9739450594 Enrollment ID: I20190930000201 |
| Provider Name | Sirahaydee Pena-alcantara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033654678 PECOS PAC ID: 0244640571 Enrollment ID: I20201027003509 |
| Provider Name | Bridget Vera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588309397 PECOS PAC ID: 5890172639 Enrollment ID: I20220516002442 |
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