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NPI Code Detail

MEDICARE: LLERENAS HEALTH MED CENTRE

MEDICARE: LLERENAS HEALTH MED CENTRE
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
1208D00000XGeneral Practice Physician0056413FL

Other Identifiers

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

General Provider Information

NPI Number : 1649283151
Entity Type Code : Organization
Provider Name (Legal Business Name) : LLERENAS HEALTH MED CENTRE
Provider Business Mailing Address
First Line : 1451 SW 1ST ST
Second Line : SUITE 1
City : MIAMI
State : FL
Zip : 33135-2202
Country : US
Telephone Number : 305-541-5090
Fax Number : 305-541-2221
Provider Business Practice Location Address
First Line : 1451 SW 1ST ST
Second Line : SUITE 1
City : MIAMI
State : FL
Zip : 33135-2202
Country : US
Telephone Number : 305-541-5090
Fax Number : 305-541-2221
Authorized Official
Title or Position : PRESIDENT
Name : SARA N LLERENA
Credential : MD
Telephone Number : 305-541-5090
Provider Enumeration Date : 08/14/2006
Last Update Date : 08/20/2015

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Directions to “LLERENAS HEALTH MED CENTRE ” Practice Location

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