Mr Luis Manuel Gomez Hernandez, APRN | |
14400 Nw 77th Ct Ste 100, Miami Lakes, FL 33016-1590 | |
(786) 916-6073 | |
(786) 657-3092 |
Full Name | Mr Luis Manuel Gomez Hernandez |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 14400 Nw 77th Ct Ste 100, Miami Lakes, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063043164 | NPI | - | NPPES |
107294700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11005915 (Florida) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11005915 (Florida) | Primary |
Entity Name | Emilio Mantero-atienza Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316038714 PECOS PAC ID: 0547168106 Enrollment ID: O20031222000249 |
Entity Name | Advanced Recovery & Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982102901 PECOS PAC ID: 8921425158 Enrollment ID: O20200902000577 |
Mailing Address | Practice Location Address |
---|---|
Mr Luis Manuel Gomez Hernandez, APRN 14415 Sw 15th St, Miami, FL 33184-3269 Ph: (786) 578-3797 | Mr Luis Manuel Gomez Hernandez, APRN 14400 Nw 77th Ct Ste 100, Miami Lakes, FL 33016-1590 Ph: (786) 916-6073 |
Jocelyne E Blanco, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6510 Main St Apt 203, Miami Lakes, FL 33014 Phone: 786-203-9182 | |
Priscilla Garcia, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7980 Nw 155th St, Miami Lakes, FL 33016 Phone: 305-418-0392 | |
Aniuska Ponce, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6800 Gleneagle Dr, Miami Lakes, FL 33014 Phone: 305-450-6337 | |
Christopher Patino, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8000 Governors Sq Blvd Ste 201, Miami Lakes, FL 33016 Phone: 305-512-0075 | |
Rochelle Patrice Bradley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7942 Nw 164th Ter, Miami Lakes, FL 33016 Phone: 786-564-4092 | |
Yuliza Chao Cuba, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15105 Nw 77th Ave, Miami Lakes, FL 33014 Phone: 305-455-2737 Fax: 305-455-2738 |