| Wave Medical Center Inc | |
|
8260 W Flagler St Ste 26 Miami FL 33144-2069 | |
| (786) 300-2323 | |
| (305) 221-5665 |
| Full Name | Wave Medical Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 8260 W Flagler St Ste 26, Miami, Florida |
| Authorized Official Name and Position | Dianelys Mourelles Cabrera (PRESIDENT) |
| Authorized Official Contact | 7863002323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wave Medical Center Inc 8260 W Flagler St Ste 26 Miami FL 33144-2069 Ph: (786) 783-3434 | Wave Medical Center Inc 8260 W Flagler St Ste 26 Miami FL 33144-2069 Ph: (786) 300-2323 |
| NPI Number | 1134855976 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Medicare PECOS PAC ID | 9133501539 |
|---|---|
| Medicare Enrollment ID | O20220802001365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134855976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (NU) | Secondary |
| Provider Name | Patricia Freire |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740231075 PECOS PAC ID: 5193621845 Enrollment ID: I20031211000891 |
| Provider Name | Pedro T Machin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972644151 PECOS PAC ID: 6709782428 Enrollment ID: I20040624000417 |
| Provider Name | Alexis Silva-vega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528374550 PECOS PAC ID: 5698902351 Enrollment ID: I20140922000463 |
| Provider Name | Neylen Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396215331 PECOS PAC ID: 3577801745 Enrollment ID: I20190213001891 |
| Provider Name | Jorge Luis Jorge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366949737 PECOS PAC ID: 9537564687 Enrollment ID: I20210827000257 |
| Provider Name | Fermin F Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982367769 PECOS PAC ID: 2961896386 Enrollment ID: I20220301002141 |
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