| Robert M Jaeger D.o., P.a. | |
|
13831 Sw 59th St Ste 202 Miami FL 33183 | |
| (305) 554-0079 | |
| (305) 554-0793 |
| Full Name | Robert M Jaeger D.o., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 13831 Sw 59th St Ste 202, Miami, Florida |
| Authorized Official Name and Position | Robert M Jaeger (PRESIDENT) |
| Authorized Official Contact | 3055540079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert M Jaeger D.o., P.a. 13831 Sw 59th St Ste 202 Miami FL 33183-1149 Ph: (305) 554-0079 | Robert M Jaeger D.o., P.a. 13831 Sw 59th St Ste 202 Miami FL 33183 Ph: (305) 554-0079 |
| NPI Number | 1336428788 |
|---|---|
| Provider Enumeration Date | 08/16/2011 |
| Last Update Date | 08/24/2018 |
| Medicare PECOS PAC ID | 3779756606 |
|---|---|
| Medicare Enrollment ID | O20111109000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336428788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS10028 (Florida) | Primary |
| Provider Name | Robert M Jaeger |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588699797 PECOS PAC ID: 4385792159 Enrollment ID: I20090505000183 |
| Provider Name | Jose Perera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497287213 PECOS PAC ID: 0941558852 Enrollment ID: I20180809004163 |
| Provider Name | Carlos E Orive |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922585975 PECOS PAC ID: 2668405838 Enrollment ID: I20190208001789 |
| Provider Name | Carlos A Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740769850 PECOS PAC ID: 0941344527 Enrollment ID: I20190311001668 |
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