| Dr Osiel R Vallejo, MD | |
|
672 Sw Prima Vista Blvd, Ste 101, Port St Lucie, FL 34983-1820 | |
| (772) 905-2555 | |
| (772) 871-9789 |
| Full Name | Dr Osiel R Vallejo |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 672 Sw Prima Vista Blvd, Port St Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811928666 | NPI | - | NPPES |
| 257494200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME66962 (Florida) | Primary |
| Entity Name | Inphynet Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073556767 PECOS PAC ID: 7416865811 Enrollment ID: O20031105000125 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
| Entity Name | Small Hospital Innovations Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20140715000513 |
| Entity Name | Shi Keys Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952903536 PECOS PAC ID: 2163835513 Enrollment ID: O20210105000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Osiel R Vallejo, MD Po Box 69, Jupiter, FL 33468-0069 Ph: (561) 932-0995 | Dr Osiel R Vallejo, MD 672 Sw Prima Vista Blvd, Ste 101, Port St Lucie, FL 34983-1820 Ph: (772) 905-2555 |
Dr. Adan Fernando Hernandez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-237-0813 Fax: 772-238-2004 | |
Isabel Teresa Casariego Cruz, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1651 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-398-1800 Fax: 772-398-1828 | |
Dr. David A. Hurst, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 537 Nw Lake Whitney Pl, Port St Lucie, FL 34986 Phone: 772-335-9600 | |
Dr. Pablo H Tirado, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Se Hillmoor Dr, Suite 200, Port St Lucie, FL 34952 Phone: 772-335-9600 Fax: 772-398-7951 | |
Dr. Lisa Akiye Yamamoto, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1651 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-398-1800 Fax: 772-398-1825 | |
Dr. Konstantin Alekseyenko, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 Phone: 772-344-3811 Fax: 772-344-3890 | |
Wojciech Marek Roczniak, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1651 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-398-1800 |