Dr Antonio De La Maza, MD | |
10300 Sw 216th St, Cutler Bay, FL 33190-1003 | |
(305) 278-6434 | |
(305) 252-5881 |
Full Name | Dr Antonio De La Maza |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 10300 Sw 216th St, Cutler Bay, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619124898 | NPI | - | NPPES |
001554300 | Medicaid | FL | |
BCD & BS 2-29880 B | Other | FL | AETNA F92800 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME# 0025026 (Florida) | Primary |
Entity Name | Community Health Of South Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336152347 PECOS PAC ID: 6507770526 Enrollment ID: O20031118000460 |
Mailing Address | Practice Location Address |
---|---|
Dr Antonio De La Maza, MD 8722 Sw 212th Ter, Cutler Bay, FL 33189-3879 Ph: (305) 256-4509 | Dr Antonio De La Maza, MD 10300 Sw 216th St, Cutler Bay, FL 33190-1003 Ph: (305) 278-6434 |
Mary Louise Kerwin, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 10300 Sw 216th St, Cutler Bay, FL 33190 Phone: 305-252-5899 | |
Priscilla M Borrego, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10300 Sw 216th St, Cutler Bay, FL 33190 Phone: 305-253-5100 Fax: 305-254-4987 | |
Dr. Ariel Joaquin Goitia, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 10300 Sw 216th St, Cutler Bay, FL 33190 Phone: 786-254-7166 | |
Elkins Guzman, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10300 Sw 216th St, Cutler Bay, FL 33190 Phone: 305-253-5100 | |
Janny Mesa, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10300 Sw 216th St, Cutler Bay, FL 33190 Phone: 305-252-5899 |