| Cogent Healthcare Of Pensacola Llc | |
|
1350 13th Ave S Jacksonville Beach FL 32250-3203 | |
| (904) 376-4182 | |
| Not Available |
| Full Name | Cogent Healthcare Of Pensacola Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1350 13th Ave S, Jacksonville Beach, Florida |
| Authorized Official Name and Position | Melissa Harlan (DIRECTOR) |
| Authorized Official Contact | 6155776340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cogent Healthcare Of Pensacola Llc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-5593 | Cogent Healthcare Of Pensacola Llc 1350 13th Ave S Jacksonville Beach FL 32250-3203 Ph: (904) 376-4182 |
| NPI Number | 1346287182 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 03/23/2021 |
| Medicare PECOS PAC ID | 1153226766 |
|---|---|
| Medicare Enrollment ID | O20031205000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346287182 | NPI | - | NPPES |
| Provider Name | Jesse Areopagita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174525083 PECOS PAC ID: 6709799935 Enrollment ID: I20031112000453 |
| Provider Name | Romeo E Rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730178690 PECOS PAC ID: 9335043322 Enrollment ID: I20031121000254 |
| Provider Name | Amarin Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215926373 PECOS PAC ID: 0446151633 Enrollment ID: I20040120000503 |
| Provider Name | Kimberly S Westbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649253139 PECOS PAC ID: 3072406792 Enrollment ID: I20040205001189 |
| Provider Name | Ian Richard Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316944317 PECOS PAC ID: 3870480452 Enrollment ID: I20040228000346 |
| Provider Name | Girmachew Truneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467507285 PECOS PAC ID: 7719971811 Enrollment ID: I20040412001447 |
| Provider Name | Brian S Masters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932172731 PECOS PAC ID: 5597753640 Enrollment ID: I20040505001459 |
| Provider Name | Rafael J Mas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942285358 PECOS PAC ID: 6103807110 Enrollment ID: I20040526000656 |
| Provider Name | Mario F Guillen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952345324 PECOS PAC ID: 3173505336 Enrollment ID: I20040602001255 |
| Provider Name | Maria R Zequeira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609810878 PECOS PAC ID: 6709861388 Enrollment ID: I20040618001020 |
| Provider Name | Chhatrapal S Thakur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871578088 PECOS PAC ID: 9739167800 Enrollment ID: I20040713001567 |
| Provider Name | Ejaz Nemat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588602460 PECOS PAC ID: 0446239495 Enrollment ID: I20040714001333 |
| Provider Name | Anand R Mahadevan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245238245 PECOS PAC ID: 7113914953 Enrollment ID: I20040810000929 |
| Provider Name | Sanjay A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003866823 PECOS PAC ID: 8123092004 Enrollment ID: I20040825001000 |
| Provider Name | Patricio Giovanni Bruno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336120690 PECOS PAC ID: 2062487184 Enrollment ID: I20040831001412 |
| Provider Name | Jose U Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245215219 PECOS PAC ID: 5799752655 Enrollment ID: I20040911000070 |
| Provider Name | Vipul Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992754329 PECOS PAC ID: 1254307226 Enrollment ID: I20040913001400 |
| Provider Name | Vijayalakshmi Polavarapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790766756 PECOS PAC ID: 3971562265 Enrollment ID: I20041004000191 |
| Provider Name | Steven V Turpin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427090109 PECOS PAC ID: 7810956919 Enrollment ID: I20041005000759 |
| Provider Name | Shelly A Scott-castell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427214881 PECOS PAC ID: 5294794913 Enrollment ID: I20041007000638 |
| Provider Name | Farooq Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053351643 PECOS PAC ID: 4284695594 Enrollment ID: I20041020000860 |
| Provider Name | Shaik Ejazuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073501185 PECOS PAC ID: 0749243426 Enrollment ID: I20041104000827 |
| Provider Name | Curtis E Wilkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730131046 PECOS PAC ID: 0042274805 Enrollment ID: I20041115000320 |
| Provider Name | Rosa Tam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043298458 PECOS PAC ID: 5991769234 Enrollment ID: I20041116000712 |
| Provider Name | Sonny V Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861402505 PECOS PAC ID: 6002872728 Enrollment ID: I20041206000594 |
| Provider Name | Ghassan Georges Haddad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780754358 PECOS PAC ID: 3476519620 Enrollment ID: I20041208001107 |
| Provider Name | Rashid I Saba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376612481 PECOS PAC ID: 9133177454 Enrollment ID: I20050104000370 |
| Provider Name | Noel Mora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538196258 PECOS PAC ID: 2769436377 Enrollment ID: I20050308000022 |
| Provider Name | Mohammed I Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043209125 PECOS PAC ID: 0244284784 Enrollment ID: I20050309000304 |
| Provider Name | Ravishankar L Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164414249 PECOS PAC ID: 4082515085 Enrollment ID: I20050317000547 |
| Provider Name | Randall M Taubman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528049194 PECOS PAC ID: 8628069218 Enrollment ID: I20050321000533 |
| Provider Name | Namita Arya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538278643 PECOS PAC ID: 3870534431 Enrollment ID: I20050513000601 |
| Provider Name | Kanika Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679790976 PECOS PAC ID: 9830132901 Enrollment ID: I20050609000298 |
| Provider Name | Constantino Luis Regalado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134110521 PECOS PAC ID: 1951345966 Enrollment ID: I20050610000430 |
| Provider Name | Elias N Amador |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326039702 PECOS PAC ID: 3678504610 Enrollment ID: I20050830000028 |
| Provider Name | Ludwig Rommel Pierre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902884307 PECOS PAC ID: 6608808662 Enrollment ID: I20050910000043 |
| Provider Name | Rehan A Naqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669457081 PECOS PAC ID: 3971529785 Enrollment ID: I20051020000950 |
| Provider Name | Chaker M Dahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003803412 PECOS PAC ID: 0840190823 Enrollment ID: I20051028000083 |
| Provider Name | Antoinette G Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538196738 PECOS PAC ID: 0446270516 Enrollment ID: I20051205000206 |
| Provider Name | Firaz R Hosein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972505410 PECOS PAC ID: 4082635255 Enrollment ID: I20051216000096 |
| Provider Name | Arthur Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093717613 PECOS PAC ID: 6103851621 Enrollment ID: I20060120000602 |
| Provider Name | Antonio Murtinho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134294689 PECOS PAC ID: 4587670914 Enrollment ID: I20060222000612 |
| Provider Name | Waddah Allaf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386607836 PECOS PAC ID: 6507875366 Enrollment ID: I20060406000418 |
| Provider Name | Alexander Fishberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225038391 PECOS PAC ID: 1456328715 Enrollment ID: I20060419000504 |
| Provider Name | Sangeetha Polasa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336107622 PECOS PAC ID: 1052316353 Enrollment ID: I20060920000137 |
| Provider Name | Stefanie A Colavito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548282916 PECOS PAC ID: 1355393034 Enrollment ID: I20061204000337 |
| Provider Name | Mohammad Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992725048 PECOS PAC ID: 2264432467 Enrollment ID: I20070112000172 |
| Provider Name | Juan R Del Rio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326023730 PECOS PAC ID: 4284635053 Enrollment ID: I20070122000293 |
| Provider Name | Baney P Nandlall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760441117 PECOS PAC ID: 8628050747 Enrollment ID: I20070201000098 |
| Provider Name | Angelica R Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013012566 PECOS PAC ID: 4183626765 Enrollment ID: I20070212000041 |
| Provider Name | Eddie Armas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528092640 PECOS PAC ID: 3476527540 Enrollment ID: I20070307000438 |
| Provider Name | Frank J Aranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588649099 PECOS PAC ID: 6406850023 Enrollment ID: I20070307000519 |
| Provider Name | Evelyn Rentas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952483356 PECOS PAC ID: 1658478359 Enrollment ID: I20070514000647 |
| Provider Name | Ilya Fonarov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679584098 PECOS PAC ID: 4183727282 Enrollment ID: I20070525000479 |
| Provider Name | Pankaj Khurana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811079023 PECOS PAC ID: 7911098900 Enrollment ID: I20070806000314 |
| Provider Name | Kliti Tane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699713214 PECOS PAC ID: 3476578030 Enrollment ID: I20070822001259 |
| Provider Name | Poonam Warman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871508549 PECOS PAC ID: 7315030616 Enrollment ID: I20070831000448 |
| Provider Name | Octavian B Brebene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487860599 PECOS PAC ID: 7719070846 Enrollment ID: I20070906000370 |
| Provider Name | Junias Desamour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609890045 PECOS PAC ID: 5294821583 Enrollment ID: I20071018000034 |
| Provider Name | Kamalakar Amaravadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417149873 PECOS PAC ID: 7416044243 Enrollment ID: I20071026000074 |
| Provider Name | Ivan D Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649292012 PECOS PAC ID: 3072582436 Enrollment ID: I20071106000674 |
| Provider Name | Alejandro Victoria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043200934 PECOS PAC ID: 2062502560 Enrollment ID: I20071220000601 |
| Provider Name | Orlando D Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952502825 PECOS PAC ID: 6608945753 Enrollment ID: I20080515000574 |
| Provider Name | Samora Y Cotterell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235318320 PECOS PAC ID: 5991874414 Enrollment ID: I20080522000605 |
| Provider Name | Adnan A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164498051 PECOS PAC ID: 9638111404 Enrollment ID: I20080530000024 |
| Provider Name | Nichelle S Bansee Cordero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821151671 PECOS PAC ID: 3476623562 Enrollment ID: I20080602000163 |
| Provider Name | Gabriela I Rojas-rosario |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538263934 PECOS PAC ID: 1951309178 Enrollment ID: I20080707000242 |
| Provider Name | Buchi V Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699783522 PECOS PAC ID: 1951476753 Enrollment ID: I20080813000435 |
| Provider Name | Ali M Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679750335 PECOS PAC ID: 5092880674 Enrollment ID: I20080815000406 |
| Provider Name | Juan J Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427210970 PECOS PAC ID: 4587730593 Enrollment ID: I20080827000358 |
| Provider Name | Ismael A Acevedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205967585 PECOS PAC ID: 2769559053 Enrollment ID: I20080929000574 |
| Provider Name | Ismat A Pervin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417113978 PECOS PAC ID: 2365510716 Enrollment ID: I20081013000070 |
| Provider Name | Marisela Dominguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205949104 PECOS PAC ID: 1850459231 Enrollment ID: I20081029000571 |
| Provider Name | Aleisha A Canik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093995235 PECOS PAC ID: 1759441835 Enrollment ID: I20081119000380 |
| Provider Name | Ivan Bolivar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619985645 PECOS PAC ID: 0749340859 Enrollment ID: I20081119000601 |
| Provider Name | Maray Rocher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306022819 PECOS PAC ID: 6002978939 Enrollment ID: I20081230000520 |
| Provider Name | Narayanan Madhusoodanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093735383 PECOS PAC ID: 2466517388 Enrollment ID: I20090210000197 |
| Provider Name | Azhar L Dalal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972724029 PECOS PAC ID: 3072679521 Enrollment ID: I20090306000527 |
| Provider Name | Peggy De Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972765089 PECOS PAC ID: 3173670288 Enrollment ID: I20090407000287 |
| Provider Name | Seung S Kang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427245380 PECOS PAC ID: 2062569072 Enrollment ID: I20090408000681 |
| Provider Name | Odalys P Frontela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639102700 PECOS PAC ID: 9830246552 Enrollment ID: I20090416000116 |
| Provider Name | Mark Britton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497795959 PECOS PAC ID: 3072525385 Enrollment ID: I20090428000256 |
| Provider Name | Michael R Lamarche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417930926 PECOS PAC ID: 5496804882 Enrollment ID: I20090513000590 |
| Provider Name | Christian P Seda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831350933 PECOS PAC ID: 8527118033 Enrollment ID: I20090603000662 |
| Provider Name | John P Matos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407942618 PECOS PAC ID: 4486758513 Enrollment ID: I20090604000256 |
| Provider Name | Lumen B Nordblom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851593974 PECOS PAC ID: 0143371815 Enrollment ID: I20090619000582 |
| Provider Name | Francisco J Molina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295935120 PECOS PAC ID: 7911043005 Enrollment ID: I20091002000288 |
| Provider Name | Francisco J Quiles-cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184822819 PECOS PAC ID: 9234276122 Enrollment ID: I20091026000612 |
| Provider Name | Pavel Capote |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174753669 PECOS PAC ID: 0446398887 Enrollment ID: I20091105000268 |
| Provider Name | Merlyn S Salmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912130246 PECOS PAC ID: 3870631534 Enrollment ID: I20091117000691 |
| Provider Name | Sashikumar Tharmarajah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699975268 PECOS PAC ID: 0547359101 Enrollment ID: I20091123000176 |
| Provider Name | Sm Hasanuz Zaman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467579219 PECOS PAC ID: 8325188121 Enrollment ID: I20091229000177 |
| Provider Name | Cesar A Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700041084 PECOS PAC ID: 5799828604 Enrollment ID: I20100201000348 |
| Provider Name | Ryan O Drayton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447414693 PECOS PAC ID: 3971646217 Enrollment ID: I20100208000801 |
| Provider Name | Shriram S Marathe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134179922 PECOS PAC ID: 4183535487 Enrollment ID: I20100224000223 |
| Provider Name | Rajender Reddy Cheruku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336310572 PECOS PAC ID: 1658416961 Enrollment ID: I20100310000827 |
| Provider Name | Erik Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780885145 PECOS PAC ID: 0547305864 Enrollment ID: I20100310000861 |
| Provider Name | Mohamed H Gajraj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275539447 PECOS PAC ID: 4183701378 Enrollment ID: I20100317000170 |
| Provider Name | Salma Hitawala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659379352 PECOS PAC ID: 1658407184 Enrollment ID: I20100409000075 |
| Provider Name | Ravi Pandey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881675452 PECOS PAC ID: 5890823017 Enrollment ID: I20100510000434 |
| Provider Name | Victor Mikhael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154397032 PECOS PAC ID: 4688705064 Enrollment ID: I20100629000360 |
| Provider Name | Krishan Nagda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033182027 PECOS PAC ID: 7416855671 Enrollment ID: I20100629000409 |
| Provider Name | Osvaldo Velez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831165711 PECOS PAC ID: 7618072414 Enrollment ID: I20100713000464 |
| Provider Name | Usman Tanveer Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457520561 PECOS PAC ID: 1951426782 Enrollment ID: I20100916000313 |
| Provider Name | Imran T Ismail |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1962650028 PECOS PAC ID: 4688790173 Enrollment ID: I20100921001231 |
| Provider Name | Victor A Lopez De Mendoza |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073667770 PECOS PAC ID: 1355533720 Enrollment ID: I20101005000335 |
| Provider Name | Bhavana Madyahnapu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134351067 PECOS PAC ID: 0840482998 Enrollment ID: I20101007000289 |
| Provider Name | Christopher Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912159799 PECOS PAC ID: 8820281835 Enrollment ID: I20101022000762 |
| Provider Name | Bella H Dattani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972754687 PECOS PAC ID: 8820282338 Enrollment ID: I20101028001060 |
| Provider Name | Pedro Pablo Del Toro Baez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700106143 PECOS PAC ID: 8325233018 Enrollment ID: I20101108000680 |
| Provider Name | Maher Nana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194979591 PECOS PAC ID: 1557541679 Enrollment ID: I20110207000913 |
| Provider Name | Surendar S Veera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053566059 PECOS PAC ID: 9537210844 Enrollment ID: I20110314000501 |
| Provider Name | Victor Totfalusi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154645430 PECOS PAC ID: 5698958940 Enrollment ID: I20110323000575 |
| Provider Name | George J Michel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558583997 PECOS PAC ID: 1850575127 Enrollment ID: I20110411000680 |
| Provider Name | Manuel M Garcia Frangie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306895669 PECOS PAC ID: 1456535699 Enrollment ID: I20110412000656 |
| Provider Name | David W Stephenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093983157 PECOS PAC ID: 6608044243 Enrollment ID: I20110726000234 |
| Provider Name | Emin Hodzic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861795049 PECOS PAC ID: 1052580156 Enrollment ID: I20110805000692 |
| Provider Name | Maria C Mas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679558084 PECOS PAC ID: 3577732106 Enrollment ID: I20110816000303 |
| Provider Name | Sankarabharan Kanikireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225249592 PECOS PAC ID: 7113197583 Enrollment ID: I20110823000777 |
| Provider Name | Shawn Chopra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518122290 PECOS PAC ID: 1456523042 Enrollment ID: I20111003000626 |
| Provider Name | Shehnaz R Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902062128 PECOS PAC ID: 4486826807 Enrollment ID: I20111007000155 |
| Provider Name | Ana M Lugo-lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407096662 PECOS PAC ID: 8022280130 Enrollment ID: I20111014000432 |
| Provider Name | Peter John Salerno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902057243 PECOS PAC ID: 5193998987 Enrollment ID: I20111021000379 |
| Provider Name | Naval G Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346416799 PECOS PAC ID: 4082887278 Enrollment ID: I20111103000607 |
| Provider Name | Mohammed Mohiuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437310083 PECOS PAC ID: 3173719549 Enrollment ID: I20111111000198 |
| Provider Name | Sridevi Manginani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609156975 PECOS PAC ID: 0648444646 Enrollment ID: I20111130000587 |
| Provider Name | Gregory Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669439592 PECOS PAC ID: 8325213796 Enrollment ID: I20111213000838 |
| Provider Name | Rafael Abreu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265769822 PECOS PAC ID: 2567638737 Enrollment ID: I20120110000698 |
| Provider Name | Marc B Blatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861498131 PECOS PAC ID: 6305003427 Enrollment ID: I20120201000457 |
| Provider Name | Joseph Durandis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396038766 PECOS PAC ID: 8820257363 Enrollment ID: I20120302000105 |
| Provider Name | John C Romano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295966018 PECOS PAC ID: 1557520582 Enrollment ID: I20120312000582 |
| Provider Name | Jean Michel Amisial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255612065 PECOS PAC ID: 0648430678 Enrollment ID: I20120328000494 |
| Provider Name | Heriberto Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598087520 PECOS PAC ID: 0143480020 Enrollment ID: I20120330000230 |
| Provider Name | Kevin D Crismond |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164428447 PECOS PAC ID: 5092773457 Enrollment ID: I20120410000176 |
| Provider Name | Raoul I Tamayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053371369 PECOS PAC ID: 0648321364 Enrollment ID: I20120427000507 |
| Provider Name | Shahid Samy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285610188 PECOS PAC ID: 3971590209 Enrollment ID: I20120627000393 |
| Provider Name | Asim Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366749731 PECOS PAC ID: 8426228669 Enrollment ID: I20120703000054 |
| Provider Name | Fleurgin Rochelin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477857563 PECOS PAC ID: 9830363704 Enrollment ID: I20120723000707 |
| Provider Name | Isaac Joseph Paff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710110788 PECOS PAC ID: 9931365426 Enrollment ID: I20120727000550 |
| Provider Name | Sadia Ijlaluddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912177023 PECOS PAC ID: 2668628322 Enrollment ID: I20120813000242 |
| Provider Name | Azmeena Laila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811290182 PECOS PAC ID: 3678720513 Enrollment ID: I20120828000272 |
| Provider Name | Jennifer M Waddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598992646 PECOS PAC ID: 8022265529 Enrollment ID: I20120905000348 |
| Provider Name | Jose F Bichara-sudah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336302421 PECOS PAC ID: 1355590753 Enrollment ID: I20120928000269 |
| Provider Name | Damian Casadesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366679052 PECOS PAC ID: 6507015864 Enrollment ID: I20121001000313 |
| Provider Name | Tej Kumar K Atluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710180880 PECOS PAC ID: 4183758238 Enrollment ID: I20121116000376 |
| Provider Name | Diane Schoeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821274192 PECOS PAC ID: 3375795321 Enrollment ID: I20121220000315 |
| Provider Name | Tara D Darvill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801149992 PECOS PAC ID: 5294988218 Enrollment ID: I20121226000192 |
| Provider Name | Zunaira Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548598055 PECOS PAC ID: 2062665268 Enrollment ID: I20130122000455 |
| Provider Name | Joseph B Salenga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689819534 PECOS PAC ID: 1456406164 Enrollment ID: I20130220000159 |
| Provider Name | Rancel Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326382599 PECOS PAC ID: 9931344306 Enrollment ID: I20130408000234 |
| Provider Name | Elena Malyutina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114246667 PECOS PAC ID: 8426295353 Enrollment ID: I20130513000210 |
| Provider Name | William A Gustave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720312739 PECOS PAC ID: 5092997767 Enrollment ID: I20130605000107 |
| Provider Name | Amanda J Kowalski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902115868 PECOS PAC ID: 6002055100 Enrollment ID: I20130621000271 |
| Provider Name | Davoni N Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376981720 PECOS PAC ID: 1759523301 Enrollment ID: I20130809000458 |
| Provider Name | Imad M Tahbub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639482391 PECOS PAC ID: 0648412791 Enrollment ID: I20130820000440 |
| Provider Name | Aseret D Medina Vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396184289 PECOS PAC ID: 2163656117 Enrollment ID: I20131008000072 |
| Provider Name | Nayle Araguez Ancares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770821993 PECOS PAC ID: 8123252517 Enrollment ID: I20131018001151 |
| Provider Name | Annia Cotorruelo Martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952620254 PECOS PAC ID: 0042445488 Enrollment ID: I20131021001072 |
| Provider Name | Fernando E Pedraza |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740432269 PECOS PAC ID: 9335375815 Enrollment ID: I20131112001510 |
| Provider Name | Tung Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861705477 PECOS PAC ID: 5294961488 Enrollment ID: I20131118000664 |
| Provider Name | Dimtri Fares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538474994 PECOS PAC ID: 7416183173 Enrollment ID: I20131202001440 |
| Provider Name | Luis Del Prado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619230612 PECOS PAC ID: 4385871813 Enrollment ID: I20131209000453 |
| Provider Name | Maria A Crystal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962752238 PECOS PAC ID: 8426288028 Enrollment ID: I20140227000439 |
| Provider Name | Ovidiu Dumitriu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023247939 PECOS PAC ID: 7810043395 Enrollment ID: I20140306002120 |
| Provider Name | Michele D Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407877715 PECOS PAC ID: 4284739871 Enrollment ID: I20140618002000 |
| Provider Name | Emmanuel Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134418668 PECOS PAC ID: 1951525427 Enrollment ID: I20140624001845 |
| Provider Name | Enrique J Lozano Ayala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134413289 PECOS PAC ID: 5991921801 Enrollment ID: I20140730001672 |
| Provider Name | Curtis Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477856664 PECOS PAC ID: 9830334507 Enrollment ID: I20140813002373 |
| Provider Name | Berry Nmi Pierre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851672844 PECOS PAC ID: 3173767936 Enrollment ID: I20140814000850 |
| Provider Name | Mayra Abreu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346471133 PECOS PAC ID: 6901024140 Enrollment ID: I20140829000111 |
| Provider Name | Nesreen Kurtom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093861072 PECOS PAC ID: 9335172147 Enrollment ID: I20141001002613 |
| Provider Name | Cyrus K Meshkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497061618 PECOS PAC ID: 4789804121 Enrollment ID: I20141006002440 |
| Provider Name | Aisha Afzal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538474440 PECOS PAC ID: 7214170950 Enrollment ID: I20141007000796 |
| Provider Name | Claire M Verna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376830984 PECOS PAC ID: 8325206659 Enrollment ID: I20141009002232 |
| Provider Name | Sandor A Romero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649567421 PECOS PAC ID: 6608097449 Enrollment ID: I20141021001097 |
| Provider Name | Yanely Md Pineiro Puebla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750702189 PECOS PAC ID: 4183947575 Enrollment ID: I20141215002342 |
| Provider Name | Alberto Gomez Veliz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053639187 PECOS PAC ID: 5496078834 Enrollment ID: I20141216001344 |
| Provider Name | Jose R Paz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366731317 PECOS PAC ID: 7911220561 Enrollment ID: I20150106002003 |
| Provider Name | Christina P Stiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750679908 PECOS PAC ID: 0042463184 Enrollment ID: I20150302002366 |
| Provider Name | Amreen Fateema Quadir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174817506 PECOS PAC ID: 0143546234 Enrollment ID: I20150309001169 |
| Provider Name | Clifford Jean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285788570 PECOS PAC ID: 5597661603 Enrollment ID: I20150415001944 |
| Provider Name | Blas Perez De La Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154697258 PECOS PAC ID: 8820318777 Enrollment ID: I20150518001334 |
| Provider Name | Noel Medina Rojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003207887 PECOS PAC ID: 4688985211 Enrollment ID: I20150623001321 |
| Provider Name | Mark Anthony Gigliobianco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356636971 PECOS PAC ID: 1153633466 Enrollment ID: I20150629002848 |
| Provider Name | Jan M De Camps Antonio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609010669 PECOS PAC ID: 8123293933 Enrollment ID: I20150720001216 |
| Provider Name | Rory C Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043522915 PECOS PAC ID: 9638307564 Enrollment ID: I20150728003524 |
| Provider Name | Marion M Capahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497021471 PECOS PAC ID: 9537475843 Enrollment ID: I20150901003059 |
| Provider Name | Olga Schatz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346560653 PECOS PAC ID: 0345481040 Enrollment ID: I20150914002073 |
| Provider Name | Preethi Gondi Kamma Venkatesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619222411 PECOS PAC ID: 4486961034 Enrollment ID: I20150915002766 |
| Provider Name | Zakiya Moyenda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073878138 PECOS PAC ID: 0143537563 Enrollment ID: I20150917001823 |
| Provider Name | Juna Touze Seraphin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750783494 PECOS PAC ID: 9335456359 Enrollment ID: I20150923001097 |
| Provider Name | Jones Sam John |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1972814895 PECOS PAC ID: 9335454800 Enrollment ID: I20151002001249 |
| Provider Name | Narsimha R Rangaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861402638 PECOS PAC ID: 7719162981 Enrollment ID: I20151022002649 |
| Provider Name | Mary Anne Farris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558619825 PECOS PAC ID: 1658681408 Enrollment ID: I20151105002450 |
| Provider Name | Karin Sieger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790083970 PECOS PAC ID: 2062713001 Enrollment ID: I20151217000492 |
| Provider Name | Kanagalingam Gopalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114235991 PECOS PAC ID: 0244533602 Enrollment ID: I20160120000220 |
| Provider Name | Marco Antonio Arias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720483431 PECOS PAC ID: 3274837604 Enrollment ID: I20160205000650 |
| Provider Name | Yurisan Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578948501 PECOS PAC ID: 8022312206 Enrollment ID: I20160209000616 |
| Provider Name | Sara Eiseler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851653539 PECOS PAC ID: 4789989898 Enrollment ID: I20160229000587 |
| Provider Name | Thomas Y Shen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275999369 PECOS PAC ID: 2860799152 Enrollment ID: I20160331001987 |
| Provider Name | Vania Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639460710 PECOS PAC ID: 8628399342 Enrollment ID: I20160419001157 |
| Provider Name | Jose E Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548506553 PECOS PAC ID: 9234438961 Enrollment ID: I20160502002404 |
| Provider Name | Amina Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689090276 PECOS PAC ID: 1557650603 Enrollment ID: I20160513000381 |
| Provider Name | Abdimomun Iuldashev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609210665 PECOS PAC ID: 5294026449 Enrollment ID: I20160620001783 |
| Provider Name | Kerone P Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538470919 PECOS PAC ID: 1951520337 Enrollment ID: I20160622001704 |
| Provider Name | Annellys Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326332347 PECOS PAC ID: 8729221080 Enrollment ID: I20160711001203 |
| Provider Name | Ronoel Penalver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083054324 PECOS PAC ID: 3870726623 Enrollment ID: I20160809000690 |
| Provider Name | Fridah K Orina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992152946 PECOS PAC ID: 6507150885 Enrollment ID: I20160809002451 |
| Provider Name | Darlyn Jose Victor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386084986 PECOS PAC ID: 3072834860 Enrollment ID: I20160824003170 |
| Provider Name | Warren J Peralta Castro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184064735 PECOS PAC ID: 6305133596 Enrollment ID: I20161003002338 |
| Provider Name | Yahumara Gonzalez Funes Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285098129 PECOS PAC ID: 4284912585 Enrollment ID: I20161020000923 |
| Provider Name | Mohammad Alian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528301538 PECOS PAC ID: 9234417924 Enrollment ID: I20161101000735 |
| Provider Name | Dawn Charmaine Mccalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568719425 PECOS PAC ID: 7618256991 Enrollment ID: I20161108002462 |
| Provider Name | Kimiben V Gandhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639512130 PECOS PAC ID: 5294014379 Enrollment ID: I20161112000088 |
| Provider Name | Sergio Hernandez Borges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043600414 PECOS PAC ID: 7012203458 Enrollment ID: I20161119000046 |
| Provider Name | Myrna E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124476221 PECOS PAC ID: 7214217678 Enrollment ID: I20161201001231 |
| Provider Name | Jonathan Paul Clarke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942641121 PECOS PAC ID: 7315228517 Enrollment ID: I20161230001010 |
| Provider Name | Angel M Quesada Pintor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184658759 PECOS PAC ID: 2961665120 Enrollment ID: I20170109001856 |
| Provider Name | Armando Linares Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689061681 PECOS PAC ID: 2466734553 Enrollment ID: I20170125002009 |
| Provider Name | James Celestin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194276899 PECOS PAC ID: 6103109871 Enrollment ID: I20170203002437 |
| Provider Name | Naightasha A Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144766684 PECOS PAC ID: 1052694049 Enrollment ID: I20170217001125 |
| Provider Name | Juan C Jayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982051348 PECOS PAC ID: 1052609401 Enrollment ID: I20170223000647 |
| Provider Name | Landis Arroyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366806564 PECOS PAC ID: 6002190030 Enrollment ID: I20170310001264 |
| Provider Name | David Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578903654 PECOS PAC ID: 4880978840 Enrollment ID: I20170313000387 |
| Provider Name | Toni D Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588195754 PECOS PAC ID: 3476830332 Enrollment ID: I20170502000002 |
| Provider Name | Mario Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316380819 PECOS PAC ID: 2860794120 Enrollment ID: I20170616001756 |
| Provider Name | Kimberley Kay Drury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063785178 PECOS PAC ID: 3577831387 Enrollment ID: I20170620002963 |
| Provider Name | Kivit Lima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104104348 PECOS PAC ID: 6103041686 Enrollment ID: I20170627001925 |
| Provider Name | Skeeter A Thompson Nembhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861859183 PECOS PAC ID: 9335436971 Enrollment ID: I20170719001746 |
| Provider Name | John D Abernathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265847438 PECOS PAC ID: 5890066146 Enrollment ID: I20170803003253 |
| Provider Name | Ahmad F Almustafa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740693688 PECOS PAC ID: 4880975762 Enrollment ID: I20170926002688 |
| Provider Name | Mahiry T Romero Salinas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104239268 PECOS PAC ID: 9830477637 Enrollment ID: I20171014000314 |
| Provider Name | Sujatha Vuyyuru |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467483875 PECOS PAC ID: 1759332299 Enrollment ID: I20171027002035 |
| Provider Name | Nadezhda Gonzalez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568874667 PECOS PAC ID: 6800194135 Enrollment ID: I20171113000421 |
| Provider Name | Ellen Neu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942465000 PECOS PAC ID: 5991865438 Enrollment ID: I20171201002542 |
| Provider Name | Robert Weir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154618916 PECOS PAC ID: 7719209063 Enrollment ID: I20180122000436 |
| Provider Name | Mohammed Aamir Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770943698 PECOS PAC ID: 4486946993 Enrollment ID: I20180207000771 |
| Provider Name | Randolph Thomas Borrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467871863 PECOS PAC ID: 1153620059 Enrollment ID: I20180215000734 |
| Provider Name | Angel M Gonzalez Cardona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336428739 PECOS PAC ID: 2769743228 Enrollment ID: I20180223001504 |
| Provider Name | Henry J Jean |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043620446 PECOS PAC ID: 7618239062 Enrollment ID: I20180322001237 |
| Provider Name | Ronja Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558386920 PECOS PAC ID: 6608766308 Enrollment ID: I20180606000948 |
| Provider Name | Deborah A.c. Houk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295000545 PECOS PAC ID: 8224349519 Enrollment ID: I20180615001306 |
| Provider Name | Saman Jalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154675635 PECOS PAC ID: 6709181548 Enrollment ID: I20180619001445 |
| Provider Name | Amanda L Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184058182 PECOS PAC ID: 9234354317 Enrollment ID: I20180625001744 |
| Provider Name | Sheryl L O'connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639685944 PECOS PAC ID: 8123374014 Enrollment ID: I20180706002152 |
| Provider Name | Mithum Sreekantan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629245733 PECOS PAC ID: 1951449388 Enrollment ID: I20180718002009 |
| Provider Name | Lindsay Samples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992241384 PECOS PAC ID: 8426306523 Enrollment ID: I20180807000546 |
| Provider Name | Tonya Michell Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235639543 PECOS PAC ID: 7810245933 Enrollment ID: I20180807001404 |
| Provider Name | Hardik Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760873400 PECOS PAC ID: 8123377728 Enrollment ID: I20180815000802 |
| Provider Name | Srinivas Raju Dantuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881089472 PECOS PAC ID: 2668789900 Enrollment ID: I20180831001152 |
| Provider Name | Adrain Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477906782 PECOS PAC ID: 2668751066 Enrollment ID: I20180914002344 |
| Provider Name | Mercedes Angela Shuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598275349 PECOS PAC ID: 2860745312 Enrollment ID: I20181030002149 |
| Provider Name | Luis Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144527466 PECOS PAC ID: 9830340645 Enrollment ID: I20181116001546 |
| Provider Name | Christopher B Zanto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134505803 PECOS PAC ID: 5395089122 Enrollment ID: I20181205003500 |
| Provider Name | Kristin Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992284103 PECOS PAC ID: 8921342668 Enrollment ID: I20181206000626 |
| Provider Name | Nelson Mane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568520971 PECOS PAC ID: 1658615257 Enrollment ID: I20181210000807 |
| Provider Name | Mario L Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639696800 PECOS PAC ID: 9032454277 Enrollment ID: I20181217002376 |
| Provider Name | Osvaldo Matos Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194205120 PECOS PAC ID: 6800131772 Enrollment ID: I20181220002183 |
| Provider Name | Charlotte Rose Tudela |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972990810 PECOS PAC ID: 6406191030 Enrollment ID: I20181228002375 |
| Provider Name | Hilton A Alemar Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659765352 PECOS PAC ID: 3870839327 Enrollment ID: I20190104000988 |
| Provider Name | Erika Lara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407241144 PECOS PAC ID: 0446567788 Enrollment ID: I20190108003990 |
| Provider Name | Jessica Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235524430 PECOS PAC ID: 8325331887 Enrollment ID: I20190125001476 |
| Provider Name | Santiago Torrents |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255713806 PECOS PAC ID: 1355688102 Enrollment ID: I20190131003142 |
| Provider Name | Agustin Vega Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124322193 PECOS PAC ID: 1759668528 Enrollment ID: I20190201002413 |
| Provider Name | Gabriel A Lopez-vega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689089567 PECOS PAC ID: 5193063550 Enrollment ID: I20190208002439 |
| Provider Name | Mark Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457895468 PECOS PAC ID: 4183963341 Enrollment ID: I20190305002896 |
| Provider Name | Rodolfo R Viton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457822645 PECOS PAC ID: 8123367240 Enrollment ID: I20190306002531 |
| Provider Name | Patricia E Flores Dominguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497130108 PECOS PAC ID: 7517207517 Enrollment ID: I20190328000891 |
| Provider Name | Elieser Gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780068809 PECOS PAC ID: 9234471434 Enrollment ID: I20190508000233 |
| Provider Name | Peter Staiano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932561321 PECOS PAC ID: 3274820394 Enrollment ID: I20190514002154 |
| Provider Name | Eduardo L Trejo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932554631 PECOS PAC ID: 0143555177 Enrollment ID: I20190715000315 |
| Provider Name | Berenice A Garcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508220385 PECOS PAC ID: 8224364625 Enrollment ID: I20190723002355 |
| Provider Name | Joseph Michael Rizzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942658083 PECOS PAC ID: 8325374499 Enrollment ID: I20190726001477 |
| Provider Name | Kianoosh Dastan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124472261 PECOS PAC ID: 2062707946 Enrollment ID: I20191025000876 |
| Provider Name | Yulisa Astudillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871003574 PECOS PAC ID: 9537409958 Enrollment ID: I20191105001408 |
| Provider Name | Lorenza Metellus Philistin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396393492 PECOS PAC ID: 3779915467 Enrollment ID: I20191119000499 |
| Provider Name | Michelle Q Larralde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467741249 PECOS PAC ID: 4880901271 Enrollment ID: I20191206001585 |
| Provider Name | Dianka Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154974830 PECOS PAC ID: 8123452406 Enrollment ID: I20191219000064 |
| Provider Name | Janet Coyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801896741 PECOS PAC ID: 8820190382 Enrollment ID: I20191231002281 |
| Provider Name | Daniel Marc Tuckerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164957478 PECOS PAC ID: 3577834944 Enrollment ID: I20200123000438 |
| Provider Name | Colleen Gail Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194961979 PECOS PAC ID: 6709060593 Enrollment ID: I20200127000241 |
| Provider Name | Maria T Milan Melo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962846808 PECOS PAC ID: 1052603651 Enrollment ID: I20200131001488 |
| Provider Name | Yaser Hamwi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114049475 PECOS PAC ID: 8123173515 Enrollment ID: I20200218002961 |
| Provider Name | Garrett A Dobson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861843468 PECOS PAC ID: 3476980822 Enrollment ID: I20200224002153 |
| Provider Name | Fernando E Melgar Somoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447882907 PECOS PAC ID: 4183052921 Enrollment ID: I20200310001560 |
| Provider Name | Yves Jodesty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801258140 PECOS PAC ID: 4284973454 Enrollment ID: I20200407002791 |
| Provider Name | Lesly Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700316379 PECOS PAC ID: 1850663709 Enrollment ID: I20200518000231 |
| Provider Name | Ashely A Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831669126 PECOS PAC ID: 9032530100 Enrollment ID: I20200527001605 |
| Provider Name | Kelly J Mackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386287217 PECOS PAC ID: 0244652865 Enrollment ID: I20200626000789 |
| Provider Name | Pragnesh Rajnikant Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780786236 PECOS PAC ID: 4486653599 Enrollment ID: I20200702000882 |
| Provider Name | Samir Naveed Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790291581 PECOS PAC ID: 6204250103 Enrollment ID: I20200724001797 |
| Provider Name | Zaimat Beiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144753310 PECOS PAC ID: 8426397290 Enrollment ID: I20200730002848 |
| Provider Name | Jose A. Cabrera- Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942667506 PECOS PAC ID: 1355766577 Enrollment ID: I20200805002512 |
| Provider Name | Mary Cisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215422068 PECOS PAC ID: 9335566918 Enrollment ID: I20200827001251 |
| Provider Name | Joshua A Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598045205 PECOS PAC ID: 0446403331 Enrollment ID: I20200916001995 |
| Provider Name | Olufunmike Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992310445 PECOS PAC ID: 1759709801 Enrollment ID: I20200922001373 |
| Provider Name | Andrea M Estevez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619400405 PECOS PAC ID: 6204255177 Enrollment ID: I20200925000755 |
| Provider Name | Tina M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700375193 PECOS PAC ID: 8325467541 Enrollment ID: I20201007001264 |
| Provider Name | James Michael Salgado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013441369 PECOS PAC ID: 7315357266 Enrollment ID: I20201103002850 |
| Provider Name | Tammy J Stimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730691320 PECOS PAC ID: 8628489440 Enrollment ID: I20201201000667 |
| Provider Name | Almatmed H Abdelsalam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396157657 PECOS PAC ID: 9830462936 Enrollment ID: I20201215000790 |
| Provider Name | Urmilla Medrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407402480 PECOS PAC ID: 8527471945 Enrollment ID: I20210104001189 |
| Provider Name | Endri Ceka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386177517 PECOS PAC ID: 1951644186 Enrollment ID: I20210122001847 |
| Provider Name | Miguel Javier Menendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316436272 PECOS PAC ID: 5698189066 Enrollment ID: I20210126001016 |
| Provider Name | Noel Garcia Acosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457884868 PECOS PAC ID: 8820369200 Enrollment ID: I20210302001546 |
| Provider Name | Tricia Lyn Maccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336621135 PECOS PAC ID: 0143636951 Enrollment ID: I20210302002804 |
| Provider Name | Javier Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326637588 PECOS PAC ID: 7618383381 Enrollment ID: I20210303001930 |
| Provider Name | Amir I Kaldas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316914526 PECOS PAC ID: 4284607862 Enrollment ID: I20210316001487 |
| Provider Name | Sheila Soares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629666458 PECOS PAC ID: 8426466863 Enrollment ID: I20210422003137 |
| Provider Name | Enzo Andre Nicosia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972008852 PECOS PAC ID: 5890104525 Enrollment ID: I20210511000652 |
| Provider Name | David Treto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447704796 PECOS PAC ID: 2860801354 Enrollment ID: I20210513001382 |
| Provider Name | Avinash Sukhram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093246548 PECOS PAC ID: 7618221920 Enrollment ID: I20210521000025 |
| Provider Name | Claudia Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164017091 PECOS PAC ID: 5890194773 Enrollment ID: I20210526000234 |
| Provider Name | Victoria L Jacoby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124417142 PECOS PAC ID: 5193035236 Enrollment ID: I20210615001076 |
| Provider Name | Maryam Y Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972022648 PECOS PAC ID: 8820499387 Enrollment ID: I20210622002795 |
| Provider Name | Abhishek Khatri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366974503 PECOS PAC ID: 0042582165 Enrollment ID: I20210624001659 |
| Provider Name | Leon Lipkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972612885 PECOS PAC ID: 7012918667 Enrollment ID: I20210630001684 |
| Provider Name | Amit A Rama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386023356 PECOS PAC ID: 9436451606 Enrollment ID: I20210630001724 |
| Provider Name | Nicole L Cardona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770088635 PECOS PAC ID: 7719388446 Enrollment ID: I20210701000700 |
| Provider Name | Viralkumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003310095 PECOS PAC ID: 3375874704 Enrollment ID: I20210702001163 |
| Provider Name | Mohamed Gharib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720575137 PECOS PAC ID: 7012319387 Enrollment ID: I20210708002389 |
| Provider Name | Nadia Lozano Castaneda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609367523 PECOS PAC ID: 3870995160 Enrollment ID: I20210708003002 |
| Provider Name | Prabhdeep Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285131045 PECOS PAC ID: 6305193962 Enrollment ID: I20210713002770 |
| Provider Name | John Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548765464 PECOS PAC ID: 7618224163 Enrollment ID: I20210714000366 |
| Provider Name | Amer Zeizoun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831652882 PECOS PAC ID: 2365846011 Enrollment ID: I20210803002764 |
| Provider Name | Raul A Fernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699214411 PECOS PAC ID: 2466594999 Enrollment ID: I20210810004239 |
| Provider Name | Mailin Rivero Ortega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033615133 PECOS PAC ID: 3577967686 Enrollment ID: I20210811004474 |
| Provider Name | Jay Bobby Oberoi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154769172 PECOS PAC ID: 6709019466 Enrollment ID: I20210812002140 |
| Provider Name | Jennifer Rae Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720653108 PECOS PAC ID: 5294139135 Enrollment ID: I20210813002179 |
| Provider Name | Janey Garcia Oviedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568957298 PECOS PAC ID: 9830593789 Enrollment ID: I20210813002536 |
| Provider Name | Jumana Al-deek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710477047 PECOS PAC ID: 3577997139 Enrollment ID: I20210817004199 |
| Provider Name | Selsabeel Elyaman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1871026377 PECOS PAC ID: 5698194223 Enrollment ID: I20210818002296 |
| Provider Name | Alfredys Berlanga Mineto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669718698 PECOS PAC ID: 2365689643 Enrollment ID: I20210825004163 |
| Provider Name | Myriam Baltazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962077735 PECOS PAC ID: 6800292699 Enrollment ID: I20210902000049 |
| Provider Name | Andrea A Varraux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376960047 PECOS PAC ID: 3779868138 Enrollment ID: I20210928003339 |
| Provider Name | Sally Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629742424 PECOS PAC ID: 1557769577 Enrollment ID: I20211006000198 |
| Provider Name | Julio Mario Ibars Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215606926 PECOS PAC ID: 4880092204 Enrollment ID: I20211014002010 |
| Provider Name | Daniel A Sanchez Taboada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922565027 PECOS PAC ID: 0042545378 Enrollment ID: I20211118003139 |
| Provider Name | Srinivasa R Mandadapu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326060435 PECOS PAC ID: 7810982667 Enrollment ID: I20211130000252 |
| Provider Name | Barbarito Asin Cala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912670282 PECOS PAC ID: 1951792803 Enrollment ID: I20220103001583 |
| Provider Name | Sadys Maria Fuentes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760988455 PECOS PAC ID: 3678826013 Enrollment ID: I20220105000749 |
| Provider Name | Kissonie Sm Bair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619364999 PECOS PAC ID: 6002165818 Enrollment ID: I20220309002071 |
| Provider Name | Yamila Diaz Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366013773 PECOS PAC ID: 0648665539 Enrollment ID: I20220310002442 |
| Provider Name | Andres Sobrado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700308699 PECOS PAC ID: 7113313883 Enrollment ID: I20220405002436 |
| Provider Name | Bryant Mauri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013479237 PECOS PAC ID: 5597144840 Enrollment ID: I20220616002972 |
| Provider Name | Marie A Popp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679223853 PECOS PAC ID: 2466831391 Enrollment ID: I20220622003267 |
| Provider Name | Tanya R Jilkevorkian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003564014 PECOS PAC ID: 2062892201 Enrollment ID: I20220706002928 |
| Provider Name | Sahana Aravind |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730749052 PECOS PAC ID: 8224365945 Enrollment ID: I20220706003646 |
| Provider Name | Rudy Forte |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962066613 PECOS PAC ID: 7315328861 Enrollment ID: I20220715000540 |
| Provider Name | Elis Marie Cruz Salcedo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902368467 PECOS PAC ID: 8527449651 Enrollment ID: I20220720000989 |
| Provider Name | Mercedes M Pena Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124775226 PECOS PAC ID: 3870974892 Enrollment ID: I20220721001163 |
| Provider Name | Eslam Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881220846 PECOS PAC ID: 0840671848 Enrollment ID: I20220722000381 |
| Provider Name | Mohamad Sharbatji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982076816 PECOS PAC ID: 0840555678 Enrollment ID: I20220823001741 |
| Provider Name | Ariadna Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972677664 PECOS PAC ID: 1456308667 Enrollment ID: I20220826000361 |
| Provider Name | Viral Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922566678 PECOS PAC ID: 2365775095 Enrollment ID: I20220829002876 |
| Provider Name | Monica Cozar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386233740 PECOS PAC ID: 2365826088 Enrollment ID: I20220830002366 |
| Provider Name | Reina Solis Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114582459 PECOS PAC ID: 2466885306 Enrollment ID: I20220901001511 |
| Provider Name | Kenny Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013571090 PECOS PAC ID: 3971987017 Enrollment ID: I20220908002161 |
| Provider Name | Janaki Saoji Juma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588126437 PECOS PAC ID: 7416332861 Enrollment ID: I20220921000826 |
| Provider Name | Gautam Anand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548723380 PECOS PAC ID: 8729463930 Enrollment ID: I20220923000297 |
| Provider Name | Samantha M Crews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609538768 PECOS PAC ID: 1456729565 Enrollment ID: I20221122000148 |
| Provider Name | Carlos Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942943923 PECOS PAC ID: 5092183715 Enrollment ID: I20221130000125 |
| Provider Name | Shannon D Marzouk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326755646 PECOS PAC ID: 2466821004 Enrollment ID: I20221203000236 |
| Provider Name | Madeleine Knowlton Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851058655 PECOS PAC ID: 9436528809 Enrollment ID: I20221206002392 |
| Provider Name | Shiv Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205395084 PECOS PAC ID: 6800261504 Enrollment ID: I20230411002784 |
| Provider Name | Fredely Petiote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639599194 PECOS PAC ID: 4981905692 Enrollment ID: I20230413000461 |
| Provider Name | Ronald Benard Saborio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114556800 PECOS PAC ID: 8123447356 Enrollment ID: I20230524003569 |
| Provider Name | Nader Jamaleddine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952939886 PECOS PAC ID: 6002280278 Enrollment ID: I20230608000790 |
| Provider Name | Sina Alam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154950590 PECOS PAC ID: 4789044215 Enrollment ID: I20230717000312 |
| Provider Name | Muhammad Usman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841813383 PECOS PAC ID: 8729448410 Enrollment ID: I20230725000128 |
| Provider Name | Peter Lipsy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124386669 PECOS PAC ID: 3173838919 Enrollment ID: I20230801004519 |
| Provider Name | Melanie Espinet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750902136 PECOS PAC ID: 7911358882 Enrollment ID: I20240105000373 |
| Provider Name | Roney Oommen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487353413 PECOS PAC ID: 2567808835 Enrollment ID: I20240308001178 |
| Provider Name | Karan Alag |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245560093 PECOS PAC ID: 2062609951 Enrollment ID: I20240418002633 |
Jorge A Aguilar Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Beach Blvd, Jacksonville Beach, FL 32250 Phone: 904-241-8300 Fax: 904-241-0831 | |
Anthony L Capasso Md Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1351 13th Ave S Ste 110, Jacksonville Beach, FL 32250 Phone: 904-249-9995 Fax: 904-249-9449 | |
Refresh Mental Health Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 1st St N Ste 712, Jacksonville Beach, FL 32250 Phone: 941-444-1730 | |
Beaded Star Recovery, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2380 3rd St S Ste 2, Jacksonville Beach, FL 32250 Phone: 904-270-1234 | |
Mendez Family Care Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1909 Beach Blvd Ste 102, Jacksonville Beach, FL 32250 Phone: 904-246-2752 Fax: 904-246-2758 | |
Shahla Medical Associates Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1141 Beach Blvd, Jacksonville Beach, FL 32250 Phone: 904-249-3820 Fax: 904-249-3390 | |
Complementary Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 Roberts Dr, Jacksonville Beach, FL 32250 Phone: 904-247-7455 Fax: 904-247-8550 |