| Primehealth Physicians LLC | |
|
9045 Sw 87th Ct Miami FL 33176-2304 | |
| (954) 551-5562 | |
| Not Available |
| Full Name | Primehealth Physicians LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 9045 Sw 87th Ct, Miami, Florida |
| Authorized Official Name and Position | Cesar Ortiz (CEO) |
| Authorized Official Contact | 9545515562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primehealth Physicians LLC 9045 Sw 87th Ct Miami FL 33176-2304 Ph: (954) 551-5562 | Primehealth Physicians LLC 9045 Sw 87th Ct Miami FL 33176-2304 Ph: (954) 551-5562 |
| NPI Number | 1871838193 |
|---|---|
| Provider Enumeration Date | 11/28/2012 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Medicare PECOS PAC ID | 0042456907 |
|---|---|
| Medicare Enrollment ID | O20130419000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871838193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | (NU) | Secondary |
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Avelino Ruben Caride |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417945098 PECOS PAC ID: 6507779543 Enrollment ID: I20031106000659 |
| Provider Name | Jeffrey B Rosen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972555217 PECOS PAC ID: 8224939053 Enrollment ID: I20040115000676 |
| Provider Name | Lester Frederick Shalloway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083689772 PECOS PAC ID: 6204823909 Enrollment ID: I20040426001678 |
| Provider Name | Julio Jorge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861441156 PECOS PAC ID: 3375580616 Enrollment ID: I20050408000522 |
| Provider Name | Dominic C Maggio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336199710 PECOS PAC ID: 2062438989 Enrollment ID: I20051021000154 |
| 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 | Karen Raben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184602203 PECOS PAC ID: 5991896151 Enrollment ID: I20070802000521 |
| Provider Name | Rocio Pestana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316068612 PECOS PAC ID: 1254410772 Enrollment ID: I20080508000252 |
| Provider Name | Robert Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922193895 PECOS PAC ID: 3072683218 Enrollment ID: I20080530000633 |
| Provider Name | Wilfredo Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518074558 PECOS PAC ID: 3072652999 Enrollment ID: I20091204000504 |
| Provider Name | Rigoberto Franco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215927819 PECOS PAC ID: 2365636388 Enrollment ID: I20101216001058 |
| Provider Name | Diego C. Saavedra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689643850 PECOS PAC ID: 0648220814 Enrollment ID: I20110429000545 |
| 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 | Ivan Gonzalo Carrasquilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154373694 PECOS PAC ID: 7719159466 Enrollment ID: I20111003000067 |
| Provider Name | Natasha a Fajardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881857506 PECOS PAC ID: 7113199597 Enrollment ID: I20111006000536 |
| Provider Name | Alxeandra C Dormoy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114203536 PECOS PAC ID: 7012176001 Enrollment ID: I20120312000124 |
| Provider Name | Jenny C Montes De Oca Pineda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154562155 PECOS PAC ID: 5294983797 Enrollment ID: I20120906000801 |
| Provider Name | Silvia M Robalino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679764120 PECOS PAC ID: 4284721515 Enrollment ID: I20130205000354 |
| Provider Name | Jennifer Suzzanne Mokross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891183562 PECOS PAC ID: 0042536757 Enrollment ID: I20150223001831 |
| Provider Name | Jesus Rodriguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396179255 PECOS PAC ID: 5496065948 Enrollment ID: I20151112001759 |
| Provider Name | Maria Sorensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699145177 PECOS PAC ID: 4486959160 Enrollment ID: I20160217001048 |
| Provider Name | Adryanna Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801285762 PECOS PAC ID: 2860791159 Enrollment ID: I20160509002166 |
| Provider Name | Liliam Palacios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851843593 PECOS PAC ID: 5092083428 Enrollment ID: I20170607002918 |
| Provider Name | Sebastiana Moraes Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942790613 PECOS PAC ID: 1850634791 Enrollment ID: I20190516002815 |
| Provider Name | Adam Michael Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881056356 PECOS PAC ID: 3678816105 Enrollment ID: I20190523001912 |
| Provider Name | Jaime a Alayo Villalobos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144864620 PECOS PAC ID: 3779919006 Enrollment ID: I20200205002106 |
| Provider Name | Pedro Pablo Nunez Ferro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396225256 PECOS PAC ID: 7810396645 Enrollment ID: I20210528000296 |
| Provider Name | Natasha Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669119400 PECOS PAC ID: 5395122956 Enrollment ID: I20220519002384 |
| Provider Name | Alexis Deanna Bravo Condit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194449728 PECOS PAC ID: 9436526936 Enrollment ID: I20221111001000 |
| Provider Name | Joel Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770046633 PECOS PAC ID: 9032577093 Enrollment ID: I20230622003713 |
| Provider Name | Priscilla Rubio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790494441 PECOS PAC ID: 1658735352 Enrollment ID: I20230914000027 |
| Provider Name | Camille Claudette Hidalgo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083470470 PECOS PAC ID: 3375989387 Enrollment ID: I20240313001588 |
| Provider Name | Danielle Hoffstadt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770303349 PECOS PAC ID: 3678000445 Enrollment ID: I20260316001053 |
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