Jose Banuelos, FNP-C | |
69175 Ramon Rd Bldg A, Cathedral City, CA 92234-3344 | |
(760) 321-6776 | |
Not Available |
Full Name | Jose Banuelos |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 69175 Ramon Rd Bldg A, Cathedral City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972165660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95013880 (California) | Primary |
Entity Name | Borrego Community Health Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144165 PECOS PAC ID: 1759299944 Enrollment ID: O20040122000961 |
Entity Name | County Of Riverside |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
Mailing Address | Practice Location Address |
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Jose Banuelos, FNP-C 69175 Ramon Rd Bldg A, Cathedral City, CA 92234-3344 Ph: () - | Jose Banuelos, FNP-C 69175 Ramon Rd Bldg A, Cathedral City, CA 92234-3344 Ph: (760) 321-6776 |
Mrs. Laurie S. Hannan-reagan, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67780 E Palm Canyon Dr, Cathedral City, CA 92234 Phone: 760-773-1680 | |
Mrs. Monique Mester-robertson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 67780 E Palm Canyon Dr, Ste. 100, Cathedral City, CA 92234 Phone: 760-328-9312 | |
Damiano De Sano Iocovozzi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34131 Date Palm Dr, Cathedral City, CA 92234 Phone: 760-770-4600 Fax: 760-770-1564 | |
Emma Bermudez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 69175 Ramon Rd Bldg A, Cathedral City, CA 92234 Phone: 714-404-1007 | |
Jayne Ranee Antolin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 69175 Ramon Rd Bldg A, Cathedral City, CA 92234 Phone: 760-321-6776 | |
Amir Hodge, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 68860 Perez Rd, Cathedral City, CA 92234 Phone: 760-328-4499 Fax: 760-320-2725 | |
Kathleen D Lubanski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68860 Perez Rd, Cathedral City, CA 92234 Phone: 760-328-4499 Fax: 760-328-1050 |