Edgar Rafael Valdez Quinonez, | |
634 Deltona Blvd Ste A, Deltona, FL 32725-8112 | |
(407) 878-7990 | |
(407) 732-7631 |
Full Name | Edgar Rafael Valdez Quinonez |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Gerontology |
Location | 634 Deltona Blvd Ste A, Deltona, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275130551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 11009595 (Florida) | Primary |
Entity Name | Guidewell Sanitas I, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396124046 PECOS PAC ID: 9537447107 Enrollment ID: O20161102001073 |
Mailing Address | Practice Location Address |
---|---|
Edgar Rafael Valdez Quinonez, 634 Deltona Blvd Ste A, Deltona, FL 32725-8112 Ph: (407) 878-7990 | Edgar Rafael Valdez Quinonez, 634 Deltona Blvd Ste A, Deltona, FL 32725-8112 Ph: (407) 878-7990 |
Elizabeth Bauza Estrada, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1409 E Hancock Dr, Deltona, FL 32725 Phone: 786-259-3944 | |
Marizsa Perez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2090 Saxon Blvd Ste B, Deltona, FL 32725 Phone: 386-425-3300 | |
Sol Cowart, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1857 Providence Blvd, Deltona, FL 32725 Phone: 386-789-8544 | |
Lindsay Piwinski, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1565 Saxon Blvd Ste 202, Deltona, FL 32725 Phone: 386-851-0644 | |
Michele Patterson-bauman, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1649 Urbana Ave Fl 32725, Deltona, FL 32725 Phone: 609-816-6439 | |
Yahaira Fernandez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Deltona Blvd Apt 40a, Deltona, FL 32725 Phone: 386-202-6025 | |
Evelin Gonzalez Fernandez, APRN/FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2187 Howland Blvd, Deltona, FL 32738 Phone: 386-789-0813 |