Gastromed, Llc | |
5101 Sw 8th Street Suite 200 Coral Gables FL 33134-2442 | |
(305) 262-6060 | |
(305) 262-6038 |
Full Name | Gastromed, Llc |
---|---|
Speciality | Internal Medicine |
Location | 5101 Sw 8th Street, Coral Gables, Florida |
Authorized Official Name and Position | Maria P Leon (REVENUE CYCLE MANAGEMENT SUPERVISOR) |
Authorized Official Contact | 3053595037 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gastromed, Llc 5101 Sw 8th Street Suite 200 Coral Gables FL 33134-2442 Ph: (305) 262-6060 | Gastromed, Llc 5101 Sw 8th Street Suite 200 Coral Gables FL 33134-2442 Ph: (305) 262-6060 |
NPI Number | 1538491063 |
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Provider Enumeration Date | 02/09/2010 |
Last Update Date | 11/28/2023 |
Medicare PECOS PAC ID | 2365574621 |
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Medicare Enrollment ID | O20100722000052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538491063 | NPI | - | NPPES |
002496108 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Carlos A Vargas |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1750345757 PECOS PAC ID: 7214996651 Enrollment ID: I20041013000477 |
Provider Name | Carlos J Goldenberg |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1740252816 PECOS PAC ID: 6709820814 Enrollment ID: I20050621000284 |
Provider Name | Angel Veloso |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1477589505 PECOS PAC ID: 6103856570 Enrollment ID: I20050819000061 |
Provider Name | Viviana I Acheen-suligoj |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1154465508 PECOS PAC ID: 3971782111 Enrollment ID: I20110120000600 |
Provider Name | Alexander Veloso |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1851629109 PECOS PAC ID: 4688842289 Enrollment ID: I20110726000891 |
Provider Name | Sean M Kaufman |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1255305637 PECOS PAC ID: 7315111457 Enrollment ID: I20111129000562 |
Provider Name | Enrico O Souto |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1518945666 PECOS PAC ID: 2365483385 Enrollment ID: I20120130000414 |
Provider Name | Cristina S Marin |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1851577449 PECOS PAC ID: 0345497012 Enrollment ID: I20120831000257 |
Provider Name | Jorge Gil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639425630 PECOS PAC ID: 6406009455 Enrollment ID: I20121227000083 |
Provider Name | Michael G Valladares |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1407167430 PECOS PAC ID: 2365688504 Enrollment ID: I20130415000126 |
Provider Name | Monica Ryland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770982076 PECOS PAC ID: 0446573620 Enrollment ID: I20141218001829 |
Provider Name | Natasha Ferrera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508265711 PECOS PAC ID: 7911223284 Enrollment ID: I20150303002201 |
Provider Name | Christian M Andrade |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1376785576 PECOS PAC ID: 6406174077 Enrollment ID: I20151120002413 |
Provider Name | Zuselt Zirio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689025579 PECOS PAC ID: 6103112495 Enrollment ID: I20160913001830 |
Provider Name | Carlos R Diaz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881012557 PECOS PAC ID: 2163796764 Enrollment ID: I20170920003047 |
Provider Name | Jillian Brito |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497294458 PECOS PAC ID: 0244590339 Enrollment ID: I20180209002439 |
Provider Name | Andres F Carrion |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1811158454 PECOS PAC ID: 0941511695 Enrollment ID: I20181204003920 |
Provider Name | Silvia Coello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265967889 PECOS PAC ID: 1850660812 Enrollment ID: I20190405001595 |
Provider Name | Marelys Torres Abreu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023649274 PECOS PAC ID: 8729416847 Enrollment ID: I20200323002846 |
Provider Name | Laritza Lincheta Enriquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033740287 PECOS PAC ID: 8729417647 Enrollment ID: I20200327002830 |
Provider Name | Jorge Suarez |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1356617351 PECOS PAC ID: 0244543858 Enrollment ID: I20200501000344 |
Provider Name | Irlen Fernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881214476 PECOS PAC ID: 8325447493 Enrollment ID: I20210521000186 |
Provider Name | Layna F Yip Tellez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174192157 PECOS PAC ID: 2163826215 Enrollment ID: I20210811001891 |
Provider Name | Michael Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932716602 PECOS PAC ID: 7214334960 Enrollment ID: I20210922001456 |
Provider Name | Neiza Alvarez Valdes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891363008 PECOS PAC ID: 1355748807 Enrollment ID: I20210924003115 |
Provider Name | Joel Hernandez Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083377964 PECOS PAC ID: 5496144230 Enrollment ID: I20211116002022 |
Provider Name | Vanessa Sostre Santiago |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1164875662 PECOS PAC ID: 3375939721 Enrollment ID: I20220412000052 |
Provider Name | Karan Chawla |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1780181610 PECOS PAC ID: 8224474945 Enrollment ID: I20240315001737 |
Provider Name | Ernesto A Zamora |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1972008308 PECOS PAC ID: 9234475062 Enrollment ID: I20240424003740 |
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