| RM Healthcare LLC | |
|
2202 Se 17th St Ocala FL 34471-2623 | |
| (352) 209-3574 | |
| (352) 304-6351 |
| Full Name | RM Healthcare LLC |
|---|---|
| Speciality | General Practice |
| Location | 2202 Se 17th St, Ocala, Florida |
| Authorized Official Name and Position | Luz D Rosario-maisonet (PRESIDENT) |
| Authorized Official Contact | 3522049866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| RM Healthcare LLC 2202 Se 17th St Ocala FL 34471-2623 Ph: (352) 209-3574 | RM Healthcare LLC 2202 Se 17th St Ocala FL 34471-2623 Ph: (352) 209-3574 |
| NPI Number | 1639698939 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 07/13/2021 |
| Certification Date | 07/13/2021 |
| Medicare PECOS PAC ID | 1850650870 |
|---|---|
| Medicare Enrollment ID | O20180122000834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639698939 | NPI | - | NPPES |
| 001015100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ACN203 (Florida) | Primary |
| Provider Name | Luz Rosario |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225236706 PECOS PAC ID: 5395979199 Enrollment ID: I20131010000699 |
| Provider Name | Danelis Priscilla Ayala-carrasquillo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831842145 PECOS PAC ID: 0749623247 Enrollment ID: I20240212004303 |
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