| Professional Medical Services & Management Inc. | |
|
315 W 9th St Fl 2 Hialeah FL 33010-3853 | |
| (786) 360-4528 | |
| (786) 360-4529 |
| Full Name | Professional Medical Services & Management Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 W 9th St Fl 2, Hialeah, Florida |
| Authorized Official Name and Position | Sandy Lopez (PRESIDENT/ CEO) |
| Authorized Official Contact | 7863604528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Medical Services & Management Inc. 315 W 9th St Second Floor Hialeah FL 33010-3853 Ph: (786) 360-4528 | Professional Medical Services & Management Inc. 315 W 9th St Fl 2 Hialeah FL 33010-3853 Ph: (786) 360-4528 |
| NPI Number | 1417233222 |
|---|---|
| Provider Enumeration Date | 10/25/2011 |
| Last Update Date | 01/25/2022 |
| Medicare PECOS PAC ID | 4082879309 |
|---|---|
| Medicare Enrollment ID | O20120711000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417233222 | NPI | - | NPPES |
| ME51845 | Other | FL | MEDICAL LICENSE |
| 000645500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Florida) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Juan M Velazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447522438 PECOS PAC ID: 6901054790 Enrollment ID: I20120920000290 |
| Provider Name | Jorge Serret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104330760 PECOS PAC ID: 5890024103 Enrollment ID: I20190912000599 |
| Provider Name | Walfrido Roque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447746441 PECOS PAC ID: 8426480468 Enrollment ID: I20191113002505 |
| Provider Name | Mario I Quintana Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104441161 PECOS PAC ID: 9032513445 Enrollment ID: I20210806002364 |
Orp Reflexion Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3912 W 12th Ave, Hialeah, FL 33012 Phone: 786-391-0596 Fax: 786-391-0597 | |
Health In Motion Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4184 W 12th Ave, Hialeah, FL 33012 Phone: 305-556-3222 Fax: 305-556-3007 | |
Health For Life Massage Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 W 16th Ave, Suite#305, Hialeah, FL 33012 Phone: 786-237-5541 Fax: 768-360-1614 | |
Hollywood Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5941 Nw 173rd Dr Unit 7, Hialeah, FL 33015 Phone: 305-817-1424 Fax: 305-817-1426 | |
Erick Unlimited Ii, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3746 W 12th Ave, Hialeah, FL 33012 Phone: 305-992-0837 | |
Millennium Medical Center Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3914 W 12th Ave, Hialeah, FL 33012 Phone: 305-823-8244 | |
Pac Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4311 Palm Ave, Suit 3, Hialeah, FL 33012 Phone: 305-823-7740 Fax: 305-823-8527 |