Wilfredo Canales, | |
1301 Ne Miami Gardens Dr Apt 1525, Miami Gardens, FL 33179-4994 | |
(305) 333-0879 | |
Not Available |
Full Name | Wilfredo Canales |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 1301 Ne Miami Gardens Dr Apt 1525, Miami Gardens, 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 |
---|---|---|---|
1487792461 | NPI | - | NPPES |
287313 | Other | FL | WELLCARE (ATA) |
2903 | Other | FL | THC |
699013 | Other | FL | UHC |
889671200 | Medicaid | FL | |
276370 | Other | FL | AMERIGROUP |
4446 | Other | FL | TRS (HUMANA) |
Y032D | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT17474 (Florida) | Primary |
Provider Name | Praxis Physical Medicine Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1629664255 PECOS PAC ID: 8820403694 Enrollment ID: O20210209002567 |
Provider Name | La Doctora Terapista Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528637303 PECOS PAC ID: 0244620250 Enrollment ID: O20211207000897 |
Mailing Address | Practice Location Address |
---|---|
Wilfredo Canales, 1301 Ne Miami Gardens Dr Apt 1525, Miami Gardens, FL 33179-4994 Ph: (305) 333-0879 | Wilfredo Canales, 1301 Ne Miami Gardens Dr Apt 1525, Miami Gardens, FL 33179-4994 Ph: (305) 333-0879 |
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