| Prime Care Medical Center Llc | |
|
5881 Nw 151st St Ste 210 Miami Lakes FL 33014-2456 | |
| (786) 879-0856 | |
| Not Available |
| Full Name | Prime Care Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5881 Nw 151st St Ste 210, Miami Lakes, Florida |
| Authorized Official Name and Position | Andy Garcia (PRESIDENT) |
| Authorized Official Contact | 7868790856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Medical Center Llc 5881 Nw 151st St Ste 210 Miami Lakes FL 33014-2456 Ph: (786) 879-0856 | Prime Care Medical Center Llc 5881 Nw 151st St Ste 210 Miami Lakes FL 33014-2456 Ph: (786) 879-0856 |
| NPI Number | 1366298986 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 04/25/2024 |
| Medicare PECOS PAC ID | 8123567211 |
|---|---|
| Medicare Enrollment ID | O20240904000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366298986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Raja M Gidwani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235165051 PECOS PAC ID: 6608047014 Enrollment ID: I20110915000268 |
| Provider Name | Natalia Escuti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023759875 PECOS PAC ID: 5799223335 Enrollment ID: I20250106001342 |
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