| Nova Hospitalist Group Llc | |
|
8260 W Flagler St Ste 2i Miami FL 33144-2069 | |
| (786) 715-9183 | |
| (786) 713-1115 |
| Full Name | Nova Hospitalist Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8260 W Flagler St Ste 2i, Miami, Florida |
| Authorized Official Name and Position | Ivan Dario Canas (CEO) |
| Authorized Official Contact | 7867159183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Hospitalist Group Llc 8260 W Flagler St Ste 2i Miami FL 33144-2069 Ph: (786) 715-9183 | Nova Hospitalist Group Llc 8260 W Flagler St Ste 2i Miami FL 33144-2069 Ph: (786) 715-9183 |
| NPI Number | 1174270904 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 08/17/2023 |
| Medicare PECOS PAC ID | 8426436742 |
|---|---|
| Medicare Enrollment ID | O20220527000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174270904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Carlos E Vaca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154437028 PECOS PAC ID: 9537124201 Enrollment ID: I20041122000686 |
| Provider Name | Rafael Abreu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265769822 PECOS PAC ID: 2567638737 Enrollment ID: I20120110000698 |
| Provider Name | Sandor A Romero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649567421 PECOS PAC ID: 6608097449 Enrollment ID: I20141021001097 |
| Provider Name | Alvis J Linares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710386446 PECOS PAC ID: 5193038057 Enrollment ID: I20150721001684 |
| Provider Name | Mayelin Canizares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083090286 PECOS PAC ID: 0941503270 Enrollment ID: I20160120002684 |
| Provider Name | Silvia Maria Sanchez Del Campo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609365907 PECOS PAC ID: 1355674250 Enrollment ID: I20190607002151 |
| Provider Name | Eduardo Colunga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912464710 PECOS PAC ID: 8224362280 Enrollment ID: I20190625001322 |
| Provider Name | James Walter Lofton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386275840 PECOS PAC ID: 2264863315 Enrollment ID: I20200506000491 |
| Provider Name | Ivan Canas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366066649 PECOS PAC ID: 6002230406 Enrollment ID: I20200720000176 |
| Provider Name | David O Alduncin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841950698 PECOS PAC ID: 0042601452 Enrollment ID: I20220119002483 |
| Provider Name | Rafael Cartaya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417616632 PECOS PAC ID: 2961881511 Enrollment ID: I20220628001920 |
| Provider Name | Adalberto Valdes Denis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215664602 PECOS PAC ID: 0446636930 Enrollment ID: I20221006002752 |
| Provider Name | Victor M Pastrana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710243852 PECOS PAC ID: 9638591191 Enrollment ID: I20221013002999 |
| Provider Name | Dayron Morey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982305157 PECOS PAC ID: 3779948757 Enrollment ID: I20230426001328 |
| Provider Name | Yordanys Yera Valle |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083073571 PECOS PAC ID: 6800253246 Enrollment ID: I20230531000842 |
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