| Theron Medical Center Llc | |
|
7951 Sw 40th St Ste 206 Miami FL 33155-6752 | |
| (786) 693-1191 | |
| (786) 723-6840 |
| Full Name | Theron Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7951 Sw 40th St Ste 206, Miami, Florida |
| Authorized Official Name and Position | Richard Linares Suarez (MGR/ADMINISTRATOR) |
| Authorized Official Contact | 7866931191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theron Medical Center Llc 7951 Sw 40th St Ste 206 Miami FL 33155-6752 Ph: (786) 693-1191 | Theron Medical Center Llc 7951 Sw 40th St Ste 206 Miami FL 33155-6752 Ph: (786) 693-1191 |
| NPI Number | 1295558104 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 04/03/2025 |
| Medicare PECOS PAC ID | 0446772966 |
|---|---|
| Medicare Enrollment ID | O20250313002428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295558104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Eduardo M Marino Urbino |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336889070 PECOS PAC ID: 3678920311 Enrollment ID: I20250128004776 |
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