MEDICARE: FERRER PRIMARY CARE INSTITUTE, LLC

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	:	1336762889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FERRER PRIMARY CARE INSTITUTE, LLC

Provider Business Mailing Address
First Line	:	701 N FEDERAL HWY # 601
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2449
Country	:	US
Telephone Number	:	954-482-4747
Fax Number	:	954-301-5939

Provider Business Practice Location Address
First Line	:	701 N FEDERAL HWY # 601
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2449
Country	:	US
Telephone Number	:	954-482-4747
Fax Number	:	954-301-5939

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	CINTHYA ROQUE
Credential	:
Telephone Number	:	954-482-4747

Provider Enumeration Date	:	05/19/2020
Last Update Date	:	09/25/2021

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