Carlos Miguel Rodriguez, | |
15225 Nw 77th Ave, Miami Lakes, FL 33014-7804 | |
(305) 587-2747 | |
(888) 498-3163 |
Full Name | Carlos Miguel Rodriguez |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 15225 Nw 77th Ave, Miami Lakes, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619596657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11006267 (Florida) | Primary |
Entity Name | Univida Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487321774 PECOS PAC ID: 7214316868 Enrollment ID: O20220628001569 |
Mailing Address | Practice Location Address |
---|---|
Carlos Miguel Rodriguez, 860 Nw 42nd Ave, Fl 5, Miami, FL 33126 Ph: () - | Carlos Miguel Rodriguez, 15225 Nw 77th Ave, Miami Lakes, FL 33014-7804 Ph: (305) 587-2747 |
Jocelyne E Blanco, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6510 Main St Apt 203, Miami Lakes, FL 33014 Phone: 786-203-9182 | |
Priscilla Garcia, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7980 Nw 155th St, Miami Lakes, FL 33016 Phone: 305-418-0392 | |
Aniuska Ponce, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6800 Gleneagle Dr, Miami Lakes, FL 33014 Phone: 305-450-6337 | |
Christopher Patino, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8000 Governors Sq Blvd Ste 201, Miami Lakes, FL 33016 Phone: 305-512-0075 | |
Mr. Luis Manuel Gomez Hernandez, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14400 Nw 77th Ct Ste 100, Miami Lakes, FL 33016 Phone: 786-916-6073 Fax: 786-657-3092 | |
Rochelle Patrice Bradley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7942 Nw 164th Ter, Miami Lakes, FL 33016 Phone: 786-564-4092 | |
Yuliza Chao Cuba, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15105 Nw 77th Ave, Miami Lakes, FL 33014 Phone: 305-455-2737 Fax: 305-455-2738 |