Gustavo Emilio Pena-lagrave, | |
18610 Nw 87th Ave Ste 101, Hialeah, FL 33015-3519 | |
(305) 829-5000 | |
Not Available |
Full Name | Gustavo Emilio Pena-lagrave |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 22 Years |
Location | 18610 Nw 87th Ave Ste 101, Hialeah, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427216571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME141476 (Florida) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Current Care Pa | 9739260019 | 411 |
Entity Name | American Current Care Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770719296 PECOS PAC ID: 9739260019 Enrollment ID: O20090521000123 |
Entity Name | Lifelong Care, Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922406891 PECOS PAC ID: 0749582468 Enrollment ID: O20160112001179 |
Mailing Address | Practice Location Address |
---|---|
Gustavo Emilio Pena-lagrave, 110 Irving St Nw, Washington, DC 20010-3017 Ph: (202) 877-7227 | Gustavo Emilio Pena-lagrave, 18610 Nw 87th Ave Ste 101, Hialeah, FL 33015-3519 Ph: (305) 829-5000 |
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 |