MEDICARE: PROVIDENCE SERVICES GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1053407924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROVIDENCE SERVICES GROUP INC

Provider Business Mailing Address
First Line	:	2328 LUDLAM RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1846
Country	:	US
Telephone Number	:	305-219-8593
Fax Number	:

Provider Business Practice Location Address
First Line	:	2328 LUDLAM RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-1846
Country	:	US
Telephone Number	:	305-219-8593
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIA MORCIEGO
Credential	:
Telephone Number	:	305-219-8593

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1043263510 — YONG PHARMACY DISCOUNT
Practice Location Address:

2324 SW 67TH AVE
MIAMI, FL
33155-1846

Practice Phone: 786-388-4990
Practice Fax:

1417964339 — TOTAL HOME HEALTH CARE INC
Practice Location Address:

2332 LUDLAM RD
MIAMI, FL
33155-1846

Practice Phone: 786-502-8188
Practice Fax: 786-502-8027

1245462910 — TOTAL HOME HEALTH CARE INC
Practice Location Address:

2332 LUDLAM RD
MIAMI, FL
33155-1846

Practice Phone: 786-502-8188
Practice Fax: 786-502-8027

1427383405 — TROPICALPARKANIMALHOSPITAL
Practice Location Address:

2330 SW 67TH AVE
MIAMI, FL
33155-1846

Practice Phone: 305-553-4464
Practice Fax: 305-266-1907

1508155185 — EASY SOLUTIONS SERVICE CORPORATION
Practice Location Address:

2322 SW 67TH AVE
MIAMI, FL
33155-1846

Practice Phone: 786-388-1692
Practice Fax:

Directions to “PROVIDENCE SERVICES GROUP INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.