| Nova Medical Services - Specialties Division Llc | |
|
8260 W Flagler St Ste 2i Miami FL 33144-2069 | |
| (786) 715-9183 | |
| (786) 713-1115 |
| Full Name | Nova Medical Services - Specialties Division Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8260 W Flagler St Ste 2i, Miami, Florida |
| Authorized Official Name and Position | Ivan Dario Canas (MGR) |
| Authorized Official Contact | 7867159183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Medical Services - Specialties Division Llc 8260 W Flagler St Ste 2i Miami FL 33144-2069 Ph: (786) 715-9183 | Nova Medical Services - Specialties Division Llc 8260 W Flagler St Ste 2i Miami FL 33144-2069 Ph: (786) 715-9183 |
| NPI Number | 1336722321 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 01/14/2023 |
| Certification Date | 01/14/2023 |
| Medicare PECOS PAC ID | 8729481643 |
|---|---|
| Medicare Enrollment ID | O20210729000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336722321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Gregorio Caban |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205894391 PECOS PAC ID: 5496756611 Enrollment ID: I20070130000565 |
| Provider Name | Hernan Pabon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669683751 PECOS PAC ID: 2668556507 Enrollment ID: I20080301000013 |
| Provider Name | Aldo H Martinez Fleites |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588896120 PECOS PAC ID: 0345373288 Enrollment ID: I20100729000594 |
| Provider Name | Michelle E Weiner |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1568634293 PECOS PAC ID: 8729243761 Enrollment ID: I20120626000205 |
| Provider Name | Lyan Borrego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386997021 PECOS PAC ID: 8921253543 Enrollment ID: I20130306000175 |
| Provider Name | Sandor A Romero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649567421 PECOS PAC ID: 6608097449 Enrollment ID: I20141021001097 |
| Provider Name | Jany Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841735636 PECOS PAC ID: 0840554549 Enrollment ID: I20180504001053 |
| Provider Name | Esmeralda Elizabeth Narvaez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275016081 PECOS PAC ID: 9537406665 Enrollment ID: I20190129000529 |
| Provider Name | Oslaida Caballero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184188872 PECOS PAC ID: 7810329349 Enrollment ID: I20191121000216 |
| Provider Name | Ibelis Calvi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659975142 PECOS PAC ID: 6002220696 Enrollment ID: I20210121002427 |
| Provider Name | Glenda Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790387975 PECOS PAC ID: 2264849629 Enrollment ID: I20210331001087 |
| Provider Name | Suez Oramas Mingo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396237962 PECOS PAC ID: 6800296393 Enrollment ID: I20210622000120 |
| Provider Name | Yaima Rosquete Santana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982287207 PECOS PAC ID: 6901208065 Enrollment ID: I20210712002746 |
| Provider Name | Ana M Iglesias Rodriguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609336007 PECOS PAC ID: 1658763784 Enrollment ID: I20220121000655 |
| Provider Name | Cinthya M Rodriguez Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447832621 PECOS PAC ID: 5799190252 Enrollment ID: I20220628000318 |
| Provider Name | Leticia Romeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699427351 PECOS PAC ID: 7618357690 Enrollment ID: I20220708000077 |
| Provider Name | Obdelis Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912634163 PECOS PAC ID: 6103282652 Enrollment ID: I20230525001781 |
| Provider Name | Marian V Enrich Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124744545 PECOS PAC ID: 1153784731 Enrollment ID: I20230830000513 |
| Provider Name | Jacqueline Fiffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891579942 PECOS PAC ID: 6204862154 Enrollment ID: I20231214003677 |
| Provider Name | Katherine Blanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013771229 PECOS PAC ID: 8628412517 Enrollment ID: I20240219003730 |
| Provider Name | Yehan Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881448520 PECOS PAC ID: 5092155051 Enrollment ID: I20240424004175 |
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