Ivan Barrueta, | |
2801 Nw 79th Ave, Doral, FL 33122-1174 | |
(786) 512-6950 | |
Not Available |
Full Name | Ivan Barrueta |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2801 Nw 79th Ave, Doral, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891443503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163WC0200X | Registered Nurse - Critical Care Medicine | 9377684 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | APRN11023951 (Florida) | Primary |
Entity Name | Public Health Trust Of Miami Dade County Florida |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134384423 PECOS PAC ID: 0244380434 Enrollment ID: O20090610000019 |
Entity Name | University Of Miami |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013967827 PECOS PAC ID: 3274795109 Enrollment ID: O20200406001006 |
Mailing Address | Practice Location Address |
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Ivan Barrueta, 3620 Sw 128th Ave, Miami, FL 33175-2810 Ph: () - | Ivan Barrueta, 2801 Nw 79th Ave, Doral, FL 33122-1174 Ph: (786) 512-6950 |
Christian Meza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5755 Nw 115th Ct Apt 107, Doral, FL 33178 Phone: 305-794-0394 | |
Ashly B Howard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3650 Nw 82 Ave Suite 101, Doral, FL 33166 Phone: 954-815-9970 Fax: 305-341-7284 | |
Mr. Frankie Brina Lima, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10850 Nw 82nd Ter Unit 1, Doral, FL 33178 Phone: 407-965-8199 | |
Javier Daniel Luces, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8375 Nw 53rd St, Doral, FL 33166 Phone: 305-689-8375 | |
Luis X Falero Duran, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5955 Nw 105th Ct Apt 311, Doral, FL 33178 Phone: 787-451-7030 | |
Christopher Fernando Coloma, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2801 Nw 79th Ave, Doral, FL 33122 Phone: 786-586-1171 | |
Thomas Bowers Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2801 Nw 79th Ave, Doral, FL 33122 Phone: 786-466-1154 Fax: 786-466-1358 |