Carlos Alberto Lista Ensenat, MD | |
900 W 49th St Ste 101, Hialeah, FL 33012-3441 | |
(305) 266-2929 | |
Not Available |
Full Name | Carlos Alberto Lista Ensenat |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 900 W 49th St Ste 101, Hialeah, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841475951 | NPI | - | NPPES |
ME109021 | Other | FL | FL DEPT OF HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME109021 (Florida) | Primary |
Entity Name | Conviva Medical Center Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
Entity Name | Cano Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689901688 PECOS PAC ID: 1759565047 Enrollment ID: O20110411000829 |
Mailing Address | Practice Location Address |
---|---|
Carlos Alberto Lista Ensenat, MD 9250 Nw 36th St Ste 420, Doral, FL 33178-2775 Ph: (305) 266-2929 | Carlos Alberto Lista Ensenat, MD 900 W 49th St Ste 101, Hialeah, FL 33012-3441 Ph: (305) 266-2929 |
Yissel Jorge Puig, Family Medicine Medicare: Medicare Enrolled Practice Location: 445 E 25th St, Hialeah, FL 33013 Phone: 305-624-5366 | |
Mislaidy Lopez, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 714 E 18th St, Hialeah, FL 33013 Phone: 305-308-2148 | |
Dr. Orlando C. Moreno, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4835 E 4th Ave, Suite B, Hialeah, FL 33013 Phone: 786-431-1376 Fax: 786-431-1377 | |
Dr. Richard Gonzalez Perez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2020 W 64th St, Hialeah, FL 33016 Phone: 305-642-5366 | |
Dr. Olga Nydia Miranda Vicente, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 445 E 25th St, Hialeah, FL 33013 Phone: 305-642-5366 Fax: 305-644-6407 | |
Dr. Domingo Gomez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 W 49th St Ste 1, Hialeah, FL 33012 Phone: 305-364-3404 Fax: 305-364-3433 | |
Dr. Adriana Hurtado, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3233 Palm Ave, Hialeah, FL 33012 Phone: 305-826-0660 |