| Real Family Medical Center Llc | |
|
285 Nw 27th Ave Suite 14 Miami FL 33125-5131 | |
| (305) 642-4444 | |
| (305) 642-4499 |
| Full Name | Real Family Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 285 Nw 27th Ave, Miami, Florida |
| Authorized Official Name and Position | Renato Dominguez (OFFICER) |
| Authorized Official Contact | 3056424444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Real Family Medical Center Llc 285 Nw 27th Ave Suite 14 Miami FL 33125-5131 Ph: (305) 642-4444 | Real Family Medical Center Llc 285 Nw 27th Ave Suite 14 Miami FL 33125-5131 Ph: (305) 642-4444 |
| NPI Number | 1538593413 |
|---|---|
| Provider Enumeration Date | 08/27/2013 |
| Last Update Date | 08/27/2013 |
| Medicare PECOS PAC ID | 8426283243 |
|---|---|
| Medicare Enrollment ID | O20131104000969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538593413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME96462 (Florida) | Primary |
| Provider Name | Renato C Dominguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851408538 PECOS PAC ID: 5092895813 Enrollment ID: I20080107000566 |
| Provider Name | Maria T Fernandez Blanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124570718 PECOS PAC ID: 9830474972 Enrollment ID: I20170331001990 |
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