| Telemerge Pa | |
|
1000 5th St Ste 200 Miami Beach FL 33139-6510 | |
| (305) 305-0310 | |
| (347) 579-0008 |
| Full Name | Telemerge Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 5th St Ste 200, Miami Beach, Florida |
| Authorized Official Name and Position | Altagracia Miranda (PRESIDENT/OWNER) |
| Authorized Official Contact | 3053050310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Telemerge Pa 1000 5th St Ste 200 Miami Beach FL 33139-6510 Ph: (305) 305-0310 | Telemerge Pa 1000 5th St Ste 200 Miami Beach FL 33139-6510 Ph: (305) 305-0310 |
| NPI Number | 1619740552 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 9739622457 |
|---|---|
| Medicare Enrollment ID | O20240621002026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619740552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| Provider Name | Altagracia Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568441244 PECOS PAC ID: 6103896121 Enrollment ID: I20040728000385 |
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