| Amestoy Np Professional Corp | |
|
15535 Sw 57th St Miami FL 33193-2513 | |
| (786) 493-3225 | |
| Not Available |
| Full Name | Amestoy Np Professional Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 15535 Sw 57th St, Miami, Florida |
| Authorized Official Name and Position | Carmen M Amestoy (AUTHORIZED OFFICAL) |
| Authorized Official Contact | 7864933225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amestoy Np Professional Corp 15535 Sw 57th St Miami FL 33193-2513 Ph: (786) 493-3225 | Amestoy Np Professional Corp 15535 Sw 57th St Miami FL 33193-2513 Ph: (786) 493-3225 |
| NPI Number | 1780214643 |
|---|---|
| Provider Enumeration Date | 01/20/2020 |
| Last Update Date | 01/20/2020 |
| Medicare PECOS PAC ID | 2365879814 |
|---|---|
| Medicare Enrollment ID | O20200224001835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780214643 | NPI | - | NPPES |
| APRN9364243 | Other | FL | APRN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Carmen Amestoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972083426 PECOS PAC ID: 1052645553 Enrollment ID: I20190702002331 |
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