| Vipcare Medical Clinic Llc | |
|
9570 Sw 107th Ave Ste 33176 Miami FL 33176-2788 | |
| (305) 963-8863 | |
| Not Available |
| Full Name | Vipcare Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9570 Sw 107th Ave Ste 33176, Miami, Florida |
| Authorized Official Name and Position | Yandris I Sanchez Rodriguez (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3059638863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vipcare Medical Clinic Llc 9570 Sw 107th Ave Ste 201 Miami FL 33176-2791 Ph: (305) 963-8863 | Vipcare Medical Clinic Llc 9570 Sw 107th Ave Ste 33176 Miami FL 33176-2788 Ph: (305) 963-8863 |
| NPI Number | 1346095148 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 03/12/2025 |
| Medicare PECOS PAC ID | 5799229142 |
|---|---|
| Medicare Enrollment ID | O20240627000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346095148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Yandris Sanchez Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366051229 PECOS PAC ID: 9234546235 Enrollment ID: I20220122000157 |
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