Pura Wellness Llc | |
9600 Nw 25th St Ste 5f Doral FL 33172-1416 | |
(561) 367-5012 | |
Not Available |
Full Name | Pura Wellness Llc |
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Speciality | Internal Medicine |
Location | 9600 Nw 25th St Ste 5f, Doral, Florida |
Authorized Official Name and Position | Dainerys Romero (OWNER/ADMINISTRATOR) |
Authorized Official Contact | 7863829129 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pura Wellness Llc 9600 Nw 25th St Ste 5f Doral FL 33172-1416 Ph: (561) 367-5012 | Pura Wellness Llc 9600 Nw 25th St Ste 5f Doral FL 33172-1416 Ph: (561) 367-5012 |
NPI Number | 1154153567 |
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Provider Enumeration Date | 08/14/2024 |
Last Update Date | 08/21/2024 |
Medicare PECOS PAC ID | 7517495021 |
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Medicare Enrollment ID | O20250113000530 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154153567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Javier E Sanchez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437618220 PECOS PAC ID: 2961739693 Enrollment ID: I20220707000315 |
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Centro Medico Hispano Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9300 Nw 25th St, 209, Doral, FL 33172 Phone: 305-647-7383 Fax: 786-534-3568 | |
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