Dr Gaston A De Cardenas, MD | |
3100 Sw 62nd Ave, Suite 124, Miami, FL 33155-3009 | |
(305) 662-8316 | |
(305) 663-8513 |
Full Name | Dr Gaston A De Cardenas |
---|---|
Gender | Male |
Speciality | Otolaryngology - Pediatric Otolaryngology |
Location | 3100 Sw 62nd Ave, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124014550 | NPI | - | NPPES |
053874400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YP0228X | Otolaryngology - Pediatric Otolaryngology | ME0024200 (Florida) | Primary |
Entity Name | De Cardenas & Villalonga Mds Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447322839 PECOS PAC ID: 3577639319 Enrollment ID: O20080903000046 |
Mailing Address | Practice Location Address |
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Dr Gaston A De Cardenas, MD 3100 Sw 62nd Ave, Suite 124, Miami, FL 33155-3009 Ph: (305) 662-8316 | Dr Gaston A De Cardenas, MD 3100 Sw 62nd Ave, Suite 124, Miami, FL 33155-3009 Ph: (305) 662-8316 |
Bradley J Goldstein, MD PHD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1120 Nw 14th St, 5th Floor, Miami, FL 33136 Phone: 305-243-3564 Fax: 305-243-1733 | |
Liliana Jacqueline Ein, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-243-6466 | |
Oswaldo Jose Henriquez, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1120 Nw 14th St, Miami, FL 33136 Phone: 305-243-3564 Fax: 305-243-2009 | |
Dr. William Marshall Portnoy, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3100 Sw 62nd Ave Ste 124, Miami, FL 33155 Phone: 305-662-8377 Fax: 305-663-8513 | |
Dr. Brian Ho, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3100 Sw 62nd Ave, Miami, FL 33155 Phone: 305-666-6511 | |
Dominique Bohorquez, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-1111 |