MEDICARE: BACALLAO HEALTH SERVICES CORP

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	207W00000X	Ophthalmology Physician	ME92076	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083861694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACALLAO HEALTH SERVICES CORP

Provider Business Mailing Address
First Line	:	2471 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-3150
Country	:	US
Telephone Number	:	305-541-8849
Fax Number	:	305-541-4658

Provider Business Practice Location Address
First Line	:	2471 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-3150
Country	:	US
Telephone Number	:	305-541-8849
Fax Number	:	305-541-4658

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JORGE J BACALLAO
Credential	:	MD
Telephone Number	:	305-541-8849

Provider Enumeration Date	:	08/26/2008
Last Update Date	:	08/26/2008

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

1184650459 — STARMED MEDICAL CENTER # 2, INC.
Practice Location Address:

2491 NW 7TH ST , SUITE B
MIAMI, FL
33125-3150

Practice Phone: 305-480-4000
Practice Fax: 305-480-4008

1730489048 — J AND C IMAGING INC
Practice Location Address:

2471 NW 7TH ST
MIAMI, FL
33125-3150

Practice Phone: 786-275-4514
Practice Fax: 786-275-4516

1740579002 — YOEL CABALLERO X RAY TECHNICIAN
Practice Location Address:

2471 NW 7TH ST
MIAMI, FL
33125-3150

Practice Phone: 786-275-4514
Practice Fax: 786-275-4516

1730426487 — LEGACY HOME CARE SERVICES, LLC DBA GRANNY NANNIES
Practice Location Address:

2489 NW 7TH ST
MIAMI, FL
33125-3150

Practice Phone: 305-591-1818
Practice Fax: 305-402-8111

1376997932 — LEGACY HOME CARE SERVICES
Practice Location Address:

2489 NW 7TH ST
MIAMI, FL
33125-3150

Practice Phone: 305-591-1818
Practice Fax: 305-402-8111

Directions to “BACALLAO HEALTH SERVICES CORP ” 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.