Fuerza Vital Medical Institute, Corp is a medicare enrolled "Clinic/center - Physical Therapy" provider in Miami, Florida. Their current practice location is
3701 Sw 107th Ave, Miami, Florida. You can reach out to their office (for appointments etc.) via phone at
(305) 553-8343.
Fuerza Vital Medical Institute, Corp is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Fuerza Vital Medical Institute, Corp
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1083113054.
Healthcare Provider's Profile
Full Name | Fuerza Vital Medical Institute, Corp |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 3701 Sw 107th Ave, Miami, Florida |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083113054
- Provider Enumeration Date: 02/06/2018
- Last Update Date: 07/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 0749689743
- Enrollment ID: O20210525000225
Medical Identifiers
Medical identifiers for Fuerza Vital Medical Institute, Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083113054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SA12725 (Florida) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fuerza Vital Medical Institute, Corp acts as a billing entity for following providers:
Provider Name | Guillermo A Fonseca |
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Provider Type | Practitioner - General Practice |
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Provider Identifiers | NPI Number: 1972700714 PECOS PAC ID: 8325308943 Enrollment ID: I20180130002505 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fuerza Vital Medical Institute, Corp is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Fuerza Vital Medical Institute, Corp 3701 Sw 107th Ave, Miami, FL 33165-3638 Ph: (305) 553-8343 | Fuerza Vital Medical Institute, Corp 3701 Sw 107th Ave, Miami, FL 33165-3638 Ph: (305) 553-8343 |
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