| Fernando Salvato P.a. | |
|
11750 Sw 40th St Miami FL 33175-3530 | |
| (305) 223-3000 | |
| (305) 324-8050 |
| Full Name | Fernando Salvato P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11750 Sw 40th St, Miami, Florida |
| Authorized Official Name and Position | Mireille Salvato (MANAGER) |
| Authorized Official Contact | 3053246440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando Salvato P.a. 800 West Ave Apt 411 Miami Beach FL 33139-5541 Ph: (305) 324-6440 | Fernando Salvato P.a. 11750 Sw 40th St Miami FL 33175-3530 Ph: (305) 223-3000 |
| NPI Number | 1174642516 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 10/19/2018 |
| Medicare PECOS PAC ID | 0749254548 |
|---|---|
| Medicare Enrollment ID | O20040825001272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174642516 | NPI | - | NPPES |
| 053553200 | Medicaid | FL | |
| 259297500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Fernando Raul Salvato |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598846008 PECOS PAC ID: 1557335379 Enrollment ID: I20110317000051 |
| Provider Name | Yudit Padron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235609561 PECOS PAC ID: 8628311594 Enrollment ID: I20190515003287 |
| Provider Name | Sheyla Magarino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720606353 PECOS PAC ID: 4880086347 Enrollment ID: I20220113002204 |
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