| Riseup Health Group Llc | |
|
10024 Sw 222nd St Cutler Bay FL 33190-1563 | |
| (239) 692-2776 | |
| Not Available |
| Full Name | Riseup Health Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10024 Sw 222nd St, Cutler Bay, Florida |
| Authorized Official Name and Position | William Torres Carbonell (OWNER/MANAGER) |
| Authorized Official Contact | 2396922776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riseup Health Group Llc 10024 Sw 222nd St Cutler Bay FL 33190-1563 Ph: (239) 692-2776 | Riseup Health Group Llc 10024 Sw 222nd St Cutler Bay FL 33190-1563 Ph: (239) 692-2776 |
| NPI Number | 1235813031 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Medicare PECOS PAC ID | 7719349521 |
|---|---|
| Medicare Enrollment ID | O20230810002771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235813031 | NPI | - | NPPES |
| Provider Name | William Torres Carbonell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154712982 PECOS PAC ID: 3870904147 Enrollment ID: I20201118001806 |
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