| Ronoel Penalver Mdpa | |
|
10081 Pines Blvd Ste B Pembroke Pnes FL 33024-6171 | |
| (954) 251-1175 | |
| (954) 842-3332 |
| Full Name | Ronoel Penalver Mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10081 Pines Blvd Ste B, Pembroke Pnes, Florida |
| Authorized Official Name and Position | Ronoel Penalver (MD/OWNER) |
| Authorized Official Contact | 9548525485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronoel Penalver Mdpa 4581 Weston Rd Ste 381 Weston FL 33331-3141 Ph: (954) 251-1175 | Ronoel Penalver Mdpa 10081 Pines Blvd Ste B Pembroke Pnes FL 33024-6171 Ph: (954) 251-1175 |
| NPI Number | 1750039863 |
|---|---|
| Provider Enumeration Date | 03/17/2022 |
| Last Update Date | 11/22/2022 |
| Medicare PECOS PAC ID | 1355706102 |
|---|---|
| Medicare Enrollment ID | O20230428002876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750039863 | NPI | - | NPPES |
| 106009400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ronoel Penalver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083054324 PECOS PAC ID: 3870726623 Enrollment ID: I20160809000690 |
Eduardo Marino Urbino Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2421 Nw 102nd Way, Pembroke Pnes, FL 33026 Phone: 786-792-1001 |