| Unimed Medical Centers Llc | |
|
15100 Nw 67th Ave Ste 103 Miami Lakes FL 33014-2103 | |
| (305) 702-3474 | |
| (305) 456-4578 |
| Full Name | Unimed Medical Centers Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 15100 Nw 67th Ave Ste 103, Miami Lakes, Florida |
| Authorized Official Name and Position | Reynaldo Ortega (PRESIDENT) |
| Authorized Official Contact | 3057023474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unimed Medical Centers Llc 15100 Nw 67th Ave Ste 103 Miami Lakes FL 33014-2103 Ph: (305) 702-3474 | Unimed Medical Centers Llc 15100 Nw 67th Ave Ste 103 Miami Lakes FL 33014-2103 Ph: (305) 702-3474 |
| NPI Number | 1124777545 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 07/21/2023 |
| Medicare PECOS PAC ID | 1850779109 |
|---|---|
| Medicare Enrollment ID | O20220527001790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124777545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ysemonique Ferrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477115020 PECOS PAC ID: 5193141133 Enrollment ID: I20200820001970 |
| Provider Name | Gisela Ulloa Fandino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669088605 PECOS PAC ID: 6709298813 Enrollment ID: I20201215000769 |
| Provider Name | Mayquel E Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619580222 PECOS PAC ID: 8224435581 Enrollment ID: I20210929001600 |
| Provider Name | Jose L Villacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255936910 PECOS PAC ID: 6608254834 Enrollment ID: I20220531002648 |
| Provider Name | William B Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740478528 PECOS PAC ID: 9739553322 Enrollment ID: I20230322001238 |
| Provider Name | Yohany Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932852613 PECOS PAC ID: 0840656062 Enrollment ID: I20230515000078 |
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