| Enrique G. Casuso,m.d., P.a | |
|
3271 Nw 7th St Suite 204 Miami FL 33125-4141 | |
| (305) 642-3396 | |
| (305) 642-6622 |
| Full Name | Enrique G. Casuso,m.d., P.a |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3271 Nw 7th St, Miami, Florida |
| Authorized Official Name and Position | Anabel Or Mabel De La O Or Penate (SECRETARY) |
| Authorized Official Contact | 3056423396 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrique G. Casuso,m.d., P.a 3271 Nw 7th St Suite 204 Miami FL 33125-4141 Ph: (305) 642-3396 | Enrique G. Casuso,m.d., P.a 3271 Nw 7th St Suite 204 Miami FL 33125-4141 Ph: (305) 642-3396 |
| NPI Number | 1447449426 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 01/09/2012 |
| Medicare PECOS PAC ID | 4789666389 |
|---|---|
| Medicare Enrollment ID | O20040607000710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447449426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME40304 (Florida) | Primary |
| Provider Name | Enrique Casuso |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1134151483 PECOS PAC ID: 9638151301 Enrollment ID: I20040605000090 |
| Provider Name | Mayelin Canizares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083090286 PECOS PAC ID: 0941503270 Enrollment ID: I20160120002684 |
| Provider Name | Judit Ferrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871024463 PECOS PAC ID: 6507105764 Enrollment ID: I20190305003067 |
| Provider Name | Yanet Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225697923 PECOS PAC ID: 4880026764 Enrollment ID: I20191114001188 |
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