| Primehealth Ipa LLC | |
|
14680 Sw 8th St Ste 205 Miami FL 33184-3138 | |
| (305) 549-8937 | |
| (786) 801-0880 |
| Full Name | Primehealth Ipa LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 14680 Sw 8th St Ste 205, Miami, Florida |
| Authorized Official Name and Position | Martin J Santiago (CEO) |
| Authorized Official Contact | 3055498937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primehealth Ipa LLC 14680 Sw 8th St Ste 205 Miami FL 33184-3138 Ph: (305) 549-8937 | Primehealth Ipa LLC 14680 Sw 8th St Ste 205 Miami FL 33184-3138 Ph: (305) 549-8937 |
| NPI Number | 1689549230 |
|---|---|
| Provider Enumeration Date | 10/06/2025 |
| Last Update Date | 10/06/2025 |
| Certification Date | 10/06/2025 |
| Medicare PECOS PAC ID | 2860972114 |
|---|---|
| Medicare Enrollment ID | O20260216002498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689549230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207QA0505X | Family Medicine - Adult Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
| Provider Name | Jeffrey B Rosen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972555217 PECOS PAC ID: 8224939053 Enrollment ID: I20040115000676 |
| Provider Name | Hernando E Chong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386613586 PECOS PAC ID: 9133146319 Enrollment ID: I20051027000228 |
| Provider Name | Mark E Kutner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104875277 PECOS PAC ID: 5890897474 Enrollment ID: I20070301000250 |
| Provider Name | Eric Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780633859 PECOS PAC ID: 0446383392 Enrollment ID: I20110711000504 |
| Provider Name | Alfonso J. Monge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720057987 PECOS PAC ID: 7911957188 Enrollment ID: I20110906000702 |
| Provider Name | Adam Michael Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881056356 PECOS PAC ID: 3678816105 Enrollment ID: I20190523001912 |
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