| Rebello Medical Associates Md Pl | |
|
13590 Jog Rd Suite C3 Delray Beach FL 33446-3807 | |
| (561) 637-8383 | |
| (561) 423-9253 |
| Full Name | Rebello Medical Associates Md Pl |
|---|---|
| Speciality | Internal Medicine |
| Location | 13590 Jog Rd, Delray Beach, Florida |
| Authorized Official Name and Position | Brian Ignatius Rebello (DOCTOR/OWNER) |
| Authorized Official Contact | 5616378383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebello Medical Associates Md Pl 13590 S Jog Rd Ste C3 Delray Beach FL 33446-3807 Ph: (561) 637-8383 | Rebello Medical Associates Md Pl 13590 Jog Rd Suite C3 Delray Beach FL 33446-3807 Ph: (561) 637-8383 |
| NPI Number | 1700859048 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 01/09/2023 |
| Medicare PECOS PAC ID | 1759358351 |
|---|---|
| Medicare Enrollment ID | O20040914000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700859048 | NPI | - | NPPES |
| 114058400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Florida) | Primary |
| Provider Name | Vernon Rebello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902879950 PECOS PAC ID: 2860479417 Enrollment ID: I20040701001200 |
| Provider Name | Brian Ignatius Rebello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497728877 PECOS PAC ID: 6103893706 Enrollment ID: I20040916000410 |
| Provider Name | Jennifer J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962707042 PECOS PAC ID: 8628468758 Enrollment ID: I20211206000299 |
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