| Eugenio Moises Guevara Md Pa | |
|
777 E 25th St Ste 319 Hialeah FL 33013-3849 | |
| (305) 693-8585 | |
| (305) 693-8595 |
| Full Name | Eugenio Moises Guevara Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 777 E 25th St Ste 319, Hialeah, Florida |
| Authorized Official Name and Position | Eugenio Moises Guevara (PRESIDENT) |
| Authorized Official Contact | 3056938585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eugenio Moises Guevara Md Pa 777 E 25th St Ste 319 Hialeah FL 33013-3849 Ph: (305) 693-8585 | Eugenio Moises Guevara Md Pa 777 E 25th St Ste 319 Hialeah FL 33013-3849 Ph: (305) 693-8585 |
| NPI Number | 1790043420 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 04/22/2019 |
| Medicare PECOS PAC ID | 5294998092 |
|---|---|
| Medicare Enrollment ID | O20120515000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790043420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| Provider Name | Eugenio Moises Guevara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033305701 PECOS PAC ID: 5597802371 Enrollment ID: I20110809000746 |
| Provider Name | Yaneisys Martin Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740878941 PECOS PAC ID: 0648678532 Enrollment ID: I20211006003376 |
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