Keila Ivonne Rodriguez, AGNP-C | |
25 Central Ave, Dover, NJ 07801-3488 | |
(973) 270-5478 | |
Not Available |
Full Name | Keila Ivonne Rodriguez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 25 Central Ave, Dover, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093595514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 26NJ14929900 (New Jersey) | Primary |
Entity Name | Id Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639146277 PECOS PAC ID: 7719959998 Enrollment ID: O20101208000463 |
Mailing Address | Practice Location Address |
---|---|
Keila Ivonne Rodriguez, AGNP-C 25 Central Ave, Dover, NJ 07801-3488 Ph: (973) 270-5478 | Keila Ivonne Rodriguez, AGNP-C 25 Central Ave, Dover, NJ 07801-3488 Ph: (973) 270-5478 |
Lauren Cuza, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18 W Blackwell St, Dover, NJ 07801 Phone: 973-328-3344 | |
Remedios N Azares, APNC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 W Blackwell St, Dover, NJ 07801 Phone: 973-989-3085 Fax: 973-989-3106 | |
Mr. Gustavo Gonzales, APN,C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25-27 E Dickerson St Ste 101, Dover, NJ 07801 Phone: 973-361-0750 | |
Maria Armie Ladores Pacheco-te, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 400 W Blackwell St, Dover, NJ 07801 Phone: 973-989-3085 | |
Mrs. Karen Feldman, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 17 S Warren St, Dover, NJ 07801 Phone: 973-328-9100 Fax: 973-328-6817 | |
Mrs. Carolyn Jones Duval, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 W Blackwell St, Dover, NJ 07801 Phone: 973-989-3222 Fax: 973-989-3306 |