Primitivo Fortun Plane, APRN | |
777 E 25th St Ste 508, Hialeah, FL 33013-3834 | |
(305) 696-7772 | |
(305) 696-8556 |
Full Name | Primitivo Fortun Plane |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 777 E 25th St Ste 508, Hialeah, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134998800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11029973 (Florida) | Primary |
Entity Name | American Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356769343 PECOS PAC ID: 0840415741 Enrollment ID: O20140709001920 |
Mailing Address | Practice Location Address |
---|---|
Primitivo Fortun Plane, APRN 777 E 25th St Ste 508, Hialeah, FL 33013-3834 Ph: (305) 696-7772 | Primitivo Fortun Plane, APRN 777 E 25th St Ste 508, Hialeah, FL 33013-3834 Ph: (305) 696-7772 |
Ms. Albertina Onelia De La Osa, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18530 Nw 81st Ct, Hialeah, FL 33015 Phone: 305-582-6837 | |
Hendrick Vega Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18300 Nw 62nd Ave Ste 100, Hialeah, FL 33015 Phone: 305-749-6203 Fax: 786-520-3173 | |
Emilio Guerrero, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4450 W 16th Ave Apt 524, Hialeah, FL 33012 Phone: 786-269-4060 | |
Dina Marcela Duran, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18900 Wentworth Dr, Hialeah, FL 33015 Phone: 305-498-9595 | |
Iraisy Mendez, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 W 77th St Apt 311, Hialeah, FL 33014 Phone: 786-332-9540 | |
Yarlie Vincent, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2001 W 68th St, Hialeah, FL 33016 Phone: 786-520-1799 | |
Ricardo Spiritto, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2001 W 68th St, Hialeah, FL 33016 Phone: 305-823-5000 |