Leosvel Fraga, | |
8900 N Kendall Dr, Miami, FL 33176-2118 | |
(786) 596-1960 | |
Not Available |
Full Name | Leosvel Fraga |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 4 Years |
Location | 8900 N Kendall Dr, Miami, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679196695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | AA594 (Florida) | Primary |
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Boca Raton Regional Hospital | Boca raton, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Drs. Ellis, Rojas, Ross And Debs, Inc. | 4587563408 | 80 |
Boca Anesthesia Service Inc | 8325016975 | 59 |
Entity Name | Drs. Ellis, Rojas, Ross & Debs, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255313169 PECOS PAC ID: 4587563408 Enrollment ID: O20040108000602 |
Entity Name | Boca Anesthesia Service Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780752170 PECOS PAC ID: 8325016975 Enrollment ID: O20040921000879 |
Mailing Address | Practice Location Address |
---|---|
Leosvel Fraga, 4110 Sw 107th Pl, Miami, FL 33165-4821 Ph: (305) 781-4650 | Leosvel Fraga, 8900 N Kendall Dr, Miami, FL 33176-2118 Ph: (786) 596-1960 |
Ivette Alfonso, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 8950 N Kendall Dr, Miami, FL 33176 Phone: 786-596-3621 | |
Rudrine Angel Alexis, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1960 | |
Jacob Bodway, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3663 S Miami Ave, Miami, FL 33133 Phone: 305-854-4400 | |
Jordan Shapiro, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 305-595-4510 | |
Valentina Garcia, C-AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 3100 Sw 62nd Ave, Miami, FL 33155 Phone: 305-666-6511 | |
Jennifer Milbery, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1960 | |
Daniel Shmakov, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-3621 |