| Stella Maris Healthcare Corporation | |
|
1045 95th St Suite 100 Bay Harbor Islands FL 33154-2108 | |
| (305) 993-4400 | |
| (305) 993-4402 |
| Full Name | Stella Maris Healthcare Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1045 95th St, Bay Harbor Islands, Florida |
| Authorized Official Name and Position | Oliver R Di Pietro (PRESIDENT) |
| Authorized Official Contact | 3059934400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stella Maris Healthcare Corporation 1045 95th St Suite 100 Bay Harbor Islands FL 33154-2108 Ph: (305) 993-4400 | Stella Maris Healthcare Corporation 1045 95th St Suite 100 Bay Harbor Islands FL 33154-2108 Ph: (305) 993-4400 |
| NPI Number | 1821245242 |
|---|---|
| Provider Enumeration Date | 08/27/2008 |
| Last Update Date | 02/02/2009 |
| Medicare PECOS PAC ID | 0345273470 |
|---|---|
| Medicare Enrollment ID | O20050919000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821245242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Oliver R Dipietro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710903158 PECOS PAC ID: 6608809736 Enrollment ID: I20080925000627 |
| Provider Name | Melissa Priscilla Dewing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568955771 PECOS PAC ID: 7719226448 Enrollment ID: I20190225001730 |
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