| Sierra Medical Center Inc | |
|
16351 Nw 67th Avenue Miami Lakes FL 33014 | |
| (305) 821-6651 | |
| (305) 822-6173 |
| Full Name | Sierra Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 16351 Nw 67th Avenue, Miami Lakes, Florida |
| Authorized Official Name and Position | Lydia M Sierra (CEO PRESIDENT) |
| Authorized Official Contact | 3058216651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Medical Center Inc 16351 Nw 67th Avenue Miami Lakes FL 33014 Ph: (305) 821-6651 | Sierra Medical Center Inc 16351 Nw 67th Avenue Miami Lakes FL 33014 Ph: (305) 821-6651 |
| NPI Number | 1609041839 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Medicare PECOS PAC ID | 9032156773 |
|---|---|
| Medicare Enrollment ID | O20050413001066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609041839 | NPI | - | NPPES |
| 39712 | Other | FL | MEDICARE GRP |
| 000112132 | Other | HUMANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2943935 (Florida) | Primary |
| Provider Name | Genibert Perez Puelles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891051678 PECOS PAC ID: 0446357446 Enrollment ID: I20151229000804 |
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