| Gaba Neurology Center | |
|
11760 Sw 40th St Ste 502 Miami FL 33175 | |
| (305) 227-2700 | |
| (305) 227-2701 |
| Full Name | Gaba Neurology Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11760 Sw 40th St Ste 502, Miami, Florida |
| Authorized Official Name and Position | Gelasio A Baras Pier (PRESIDENT) |
| Authorized Official Contact | 7863038025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaba Neurology Center Po Box 403451 Miami Beach FL 33140-1451 Ph: (786) 303-8025 | Gaba Neurology Center 11760 Sw 40th St Ste 502 Miami FL 33175 Ph: (305) 227-2700 |
| NPI Number | 1972059228 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 01/25/2023 |
| Certification Date | 01/25/2023 |
| Medicare PECOS PAC ID | 4486932845 |
|---|---|
| Medicare Enrollment ID | O20161107000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972059228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME127297 (Florida) | Primary |
| Provider Name | Gelasio A Baras Pier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275847808 PECOS PAC ID: 5395023758 Enrollment ID: I20170109002893 |
| Provider Name | Yamila Diaz Parra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033745641 PECOS PAC ID: 7719306034 Enrollment ID: I20201006000090 |
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