| Emilio Mantero-atienza Md Pa | |
|
1200 Alton Rd Miami Beach FL 33139-3810 | |
| (305) 326-0776 | |
| (305) 326-0077 |
| Full Name | Emilio Mantero-atienza Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1200 Alton Rd, Miami Beach, Florida |
| Authorized Official Name and Position | Emilio Mantero Atienza (CEO) |
| Authorized Official Contact | 3053260776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emilio Mantero-atienza Md Pa 1200 Alton Rd Miami Beach FL 33139-3810 Ph: (305) 326-0776 | Emilio Mantero-atienza Md Pa 1200 Alton Rd Miami Beach FL 33139-3810 Ph: (305) 326-0776 |
| NPI Number | 1316038714 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 12/17/2018 |
| Medicare PECOS PAC ID | 0547168106 |
|---|---|
| Medicare Enrollment ID | O20031222000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316038714 | NPI | - | NPPES |
| 254628100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Emilio Mantero-atienza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912014804 PECOS PAC ID: 0345148912 Enrollment ID: I20050425000936 |
| Provider Name | Nelson Andino Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851760060 PECOS PAC ID: 3072801257 Enrollment ID: I20161004002727 |
| Provider Name | Dinorah Rodriguez Regalado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912485822 PECOS PAC ID: 2163763442 Enrollment ID: I20190415002009 |
| Provider Name | Yudit Padron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235609561 PECOS PAC ID: 8628311594 Enrollment ID: I20190515003287 |
| Provider Name | Azucena Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841662392 PECOS PAC ID: 1254480064 Enrollment ID: I20191203000566 |
| Provider Name | Ileana D Dominguez Baute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659907178 PECOS PAC ID: 1254757644 Enrollment ID: I20200817000631 |
| Provider Name | Luis Manuel Gomez Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063043164 PECOS PAC ID: 7719399500 Enrollment ID: I20201221000937 |
| Provider Name | Sheyla Magarino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720606353 PECOS PAC ID: 4880086347 Enrollment ID: I20220113002204 |
| Provider Name | Robinson Remonville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720698947 PECOS PAC ID: 5991173965 Enrollment ID: I20221122002856 |
| Provider Name | Edelis Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689380354 PECOS PAC ID: 1254705304 Enrollment ID: I20230313002585 |
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