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Ebenezer Medical Center LLC

Primary Care Clinic/Center in Homestead, FL · enumerated 2017 · authorized official Rene Disotuar Abad, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134642465

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Registry record

Entity type Organization (Type 2)
Legal business name Ebenezer Medical Center LLC
Other name <Unavail>
Practice address 646 W Palm Dr, Homestead, FL, 33034
Phone (305) 330-5393
Fax (305) 773-0220
Enumeration date Jul 18, 2017
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Rene Disotuar Abad
Title President
Phone (305) 330-5393

Other identifiers

Identifier Type State Issuer
010733300 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Ebenezer Medical Center LLC?
NPPES lists Rene Disotuar Abad (President) as the authorized official for this organization.
What is the NPI number for Ebenezer Medical Center LLC?
The NPI for Ebenezer Medical Center LLC is 1134642465, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.