South Miami Inpatient Physicians | |
6200 Sw 73rd St Box 69 South Miami FL 33143-4679 | |
(786) 662-5465 | |
(786) 662-5334 |
Full Name | South Miami Inpatient Physicians |
---|---|
Speciality | Internal Medicine |
Location | 6200 Sw 73rd St, South Miami, Florida |
Authorized Official Name and Position | Ghassan Haddad (DIRECTOR) |
Authorized Official Contact | 7866625465 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
South Miami Inpatient Physicians 3441 3rd Ave Sw Naples FL 34117-3019 Ph: (305) 231-1204 | South Miami Inpatient Physicians 6200 Sw 73rd St Box 69 South Miami FL 33143-4679 Ph: (786) 662-5465 |
NPI Number | 1346313194 |
---|---|
Provider Enumeration Date | 11/16/2006 |
Last Update Date | 02/12/2016 |
Medicare PECOS PAC ID | 2567429483 |
---|---|
Medicare Enrollment ID | O20041213000615 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346313194 | NPI | - | NPPES |
271302100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mark A Hernandez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881679421 PECOS PAC ID: 2365429735 Enrollment ID: I20040706000116 |
Provider Name | David Michael Trueba |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306876743 PECOS PAC ID: 5597721233 Enrollment ID: I20041206000056 |
Provider Name | Ghassan Georges Haddad |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1780754358 PECOS PAC ID: 3476519620 Enrollment ID: I20041208001107 |
Provider Name | Leilani J Del Valle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225152978 PECOS PAC ID: 2062441322 Enrollment ID: I20050806000116 |
Provider Name | Francisco R Fernandez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629053921 PECOS PAC ID: 3577592419 Enrollment ID: I20050810000932 |
Provider Name | Antonio Murtinho |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134294689 PECOS PAC ID: 4587670914 Enrollment ID: I20060222000612 |
Provider Name | Mark J Rosenthal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659470201 PECOS PAC ID: 7719996677 Enrollment ID: I20060420000498 |
Provider Name | Kliti Tane |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699713214 PECOS PAC ID: 3476578030 Enrollment ID: I20070822001259 |
Provider Name | Danet Pico-larralde |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669667796 PECOS PAC ID: 0345324992 Enrollment ID: I20080221000255 |
Provider Name | Marcelle Tharmarajah |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811167042 PECOS PAC ID: 4880750603 Enrollment ID: I20090303000639 |
Provider Name | Farhan Abid |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1003077421 PECOS PAC ID: 3072670348 Enrollment ID: I20090401000249 |
Provider Name | Sashikumar Tharmarajah |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699975268 PECOS PAC ID: 0547359101 Enrollment ID: I20091123000176 |
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 | Simon Jesus Kassis Hadid |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548410590 PECOS PAC ID: 5193917136 Enrollment ID: I20101008000105 |
Provider Name | Nilda M Ginarte |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316113798 PECOS PAC ID: 0446430342 Enrollment ID: I20110210000052 |
Provider Name | Fernando A Fernandez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619162658 PECOS PAC ID: 2769664879 Enrollment ID: I20110310000813 |
Provider Name | Sankarabharan Kanikireddy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225249592 PECOS PAC ID: 7113197583 Enrollment ID: I20110823000777 |
Provider Name | Maria T Amoros Mujica |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073660445 PECOS PAC ID: 6800990060 Enrollment ID: I20110922000185 |
Provider Name | Jose S Soza |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427242866 PECOS PAC ID: 6406028075 Enrollment ID: I20111004000817 |
Provider Name | Gerardo Garcia-gomez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336300938 PECOS PAC ID: 0749453991 Enrollment ID: I20111103000153 |
Provider Name | Javier E Alfonso |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1093952442 PECOS PAC ID: 6800063132 Enrollment ID: I20120126000805 |
Provider Name | Mercedes J Vazquez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134396724 PECOS PAC ID: 4486797917 Enrollment ID: I20120404000435 |
Provider Name | Karina Alas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114270683 PECOS PAC ID: 7214174887 Enrollment ID: I20130520000363 |
Provider Name | Martha C Alkhaldi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700130085 PECOS PAC ID: 7719125392 Enrollment ID: I20130522000209 |
Provider Name | Marialina Martell-gravie |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215207659 PECOS PAC ID: 4486898897 Enrollment ID: I20130924000734 |
Provider Name | Thelma Monterroso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265786545 PECOS PAC ID: 5193950418 Enrollment ID: I20131022001759 |
Provider Name | Jose E Negrin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912226275 PECOS PAC ID: 7618106527 Enrollment ID: I20140218000827 |
Provider Name | Sharon P Martino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205199304 PECOS PAC ID: 7719105865 Enrollment ID: I20140902001747 |
Provider Name | Amreen Fateema Quadir |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174817506 PECOS PAC ID: 0143546234 Enrollment ID: I20150309001169 |
Provider Name | Victor Manuel Calvo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023302908 PECOS PAC ID: 4587982384 Enrollment ID: I20150407001354 |
Provider Name | Jimena A Blandon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922319003 PECOS PAC ID: 7113231218 Enrollment ID: I20150803002373 |
Provider Name | Olga Schatz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346560653 PECOS PAC ID: 0345481040 Enrollment ID: I20150914002073 |
Provider Name | Ariel Moses |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235472390 PECOS PAC ID: 2860787942 Enrollment ID: I20160829001547 |
Provider Name | Sudeep Singh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104173210 PECOS PAC ID: 8123322237 Enrollment ID: I20161114002416 |
Provider Name | Maria Londono |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104276013 PECOS PAC ID: 8921389149 Enrollment ID: I20161230001535 |
Provider Name | Karina Altagracia Diaz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023458908 PECOS PAC ID: 0244514065 Enrollment ID: I20170222002807 |
Provider Name | Evelyn Corrales |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104244581 PECOS PAC ID: 1153694120 Enrollment ID: I20170913003377 |
Provider Name | Claudette Elorene Clarke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326491101 PECOS PAC ID: 1153609078 Enrollment ID: I20171221000830 |
Provider Name | Rosabel Embury |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093221822 PECOS PAC ID: 7911259890 Enrollment ID: I20181003002176 |
Provider Name | Victor M Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063989168 PECOS PAC ID: 2668717836 Enrollment ID: I20181215000399 |
Provider Name | Kelly Gloria Vazquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952877706 PECOS PAC ID: 5092051888 Enrollment ID: I20190116000656 |
Provider Name | Yesenia Guzman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861900235 PECOS PAC ID: 7416296710 Enrollment ID: I20190305000295 |
Provider Name | Amber Mehrunissa Ferreyra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275009029 PECOS PAC ID: 9234478405 Enrollment ID: I20190306000138 |
Provider Name | Angela Moira Solomon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801310651 PECOS PAC ID: 4981945466 Enrollment ID: I20190410001242 |
Provider Name | Jorge Alonso Zuloaga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760968507 PECOS PAC ID: 1850634866 Enrollment ID: I20190515000333 |
Provider Name | Giselle Ribas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629536024 PECOS PAC ID: 6305189721 Enrollment ID: I20190528000716 |
Provider Name | Tamra Dacosta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902381494 PECOS PAC ID: 9739410796 Enrollment ID: I20191007001739 |
Provider Name | Sandra Krauthamer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316200447 PECOS PAC ID: 8224320262 Enrollment ID: I20191009000752 |
Provider Name | Gretel Hirigoyen-figueroa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932447901 PECOS PAC ID: 2860782646 Enrollment ID: I20191011000670 |
Provider Name | Mary Massieu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144644287 PECOS PAC ID: 0840501201 Enrollment ID: I20191015002348 |
Provider Name | Shadia Cardoso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063983773 PECOS PAC ID: 4587996798 Enrollment ID: I20191021002282 |
Provider Name | Justine Mckee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760958185 PECOS PAC ID: 3577895440 Enrollment ID: I20191025000451 |
Provider Name | Kianoosh Dastan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124472261 PECOS PAC ID: 2062707946 Enrollment ID: I20191025000876 |
Provider Name | Marsha Camille Lambert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265073001 PECOS PAC ID: 8123450624 Enrollment ID: I20191122000038 |
Provider Name | Michelle Q Larralde |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467741249 PECOS PAC ID: 4880901271 Enrollment ID: I20191206001585 |
Provider Name | Melissa Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699217042 PECOS PAC ID: 7911280292 Enrollment ID: I20191231000112 |
Provider Name | Soraya G Bastien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750938924 PECOS PAC ID: 8527493683 Enrollment ID: I20200117000669 |
Provider Name | Daniel Marc Tuckerman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164957478 PECOS PAC ID: 3577834944 Enrollment ID: I20200123000438 |
Provider Name | Alejandro Morlan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376188862 PECOS PAC ID: 5294164943 Enrollment ID: I20200401002733 |
Provider Name | Yordan Orive Gomez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255872578 PECOS PAC ID: 0143650366 Enrollment ID: I20200430000643 |
Provider Name | Lisette Portes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508137670 PECOS PAC ID: 9931524972 Enrollment ID: I20200807000296 |
Provider Name | Rene Ribas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528605706 PECOS PAC ID: 5799101127 Enrollment ID: I20200817001786 |
Provider Name | Andrea M Estevez |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1619400405 PECOS PAC ID: 6204255177 Enrollment ID: I20200925000755 |
Provider Name | Ana M Rivas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891229621 PECOS PAC ID: 2668731126 Enrollment ID: I20201202002416 |
Provider Name | Milko A Dominguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457712002 PECOS PAC ID: 6709169840 Enrollment ID: I20201208002238 |
Provider Name | Vivian C Cata |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790329001 PECOS PAC ID: 5496161036 Enrollment ID: I20210308000242 |
Provider Name | Enrique Togores Marti |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063916690 PECOS PAC ID: 1153675111 Enrollment ID: I20210506002576 |
Provider Name | Sudian Kerrian Hendrickson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396358883 PECOS PAC ID: 0244630077 Enrollment ID: I20210615002474 |
Provider Name | Jasmine Fernanda Reyes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730757881 PECOS PAC ID: 2264833680 Enrollment ID: I20210623001283 |
Provider Name | Nicole L Cardona |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770088635 PECOS PAC ID: 7719388446 Enrollment ID: I20210701000700 |
Provider Name | Marcia Cristina Tro |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831682772 PECOS PAC ID: 3274935499 Enrollment ID: I20210712000822 |
Provider Name | Mercedes Rubi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619516739 PECOS PAC ID: 2769887900 Enrollment ID: I20210825003536 |
Provider Name | Lijo J Jose |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346746682 PECOS PAC ID: 9335486430 Enrollment ID: I20211206000403 |
Provider Name | Sadys Maria Fuentes |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1760988455 PECOS PAC ID: 3678826013 Enrollment ID: I20220105000749 |
Provider Name | Nicole L Cohen |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1376999656 PECOS PAC ID: 7810281953 Enrollment ID: I20220226000153 |
Provider Name | Amanda E Cruz Cruz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649614397 PECOS PAC ID: 4688898927 Enrollment ID: I20220524000535 |
Provider Name | Rudy Forte |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1962066613 PECOS PAC ID: 7315328861 Enrollment ID: I20220715000540 |
Provider Name | Leibe Aaron Arroyave Smilovitz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447819735 PECOS PAC ID: 3577948298 Enrollment ID: I20220916000983 |
Provider Name | Claudia Cuevas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609490044 PECOS PAC ID: 4486020849 Enrollment ID: I20221026002224 |
Provider Name | Dreivis Cabezas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477139731 PECOS PAC ID: 9133596539 Enrollment ID: I20221027001118 |
Provider Name | Lea Sawicki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952057416 PECOS PAC ID: 0840667291 Enrollment ID: I20221027003001 |
Provider Name | Camille Celeste Go |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932723293 PECOS PAC ID: 6002283124 Enrollment ID: I20221102002736 |
Provider Name | Carlos Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942943923 PECOS PAC ID: 5092183715 Enrollment ID: I20221130000125 |
Provider Name | Madeleine Knowlton Carroll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851058655 PECOS PAC ID: 9436528809 Enrollment ID: I20221206002392 |
Provider Name | Aymee Paula |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184372260 PECOS PAC ID: 6406225325 Enrollment ID: I20221214003263 |
Provider Name | Adilys Yanes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316691934 PECOS PAC ID: 1658767694 Enrollment ID: I20230111001353 |
Provider Name | Sumamol Ayyappan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841821618 PECOS PAC ID: 3375914088 Enrollment ID: I20230117000938 |
Provider Name | Yairizet Medina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629793781 PECOS PAC ID: 5092186692 Enrollment ID: I20230118001652 |
Provider Name | Camila Luces |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528730850 PECOS PAC ID: 6507238789 Enrollment ID: I20230216001876 |
Provider Name | Doris F. Canes Napoles |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508420977 PECOS PAC ID: 6800122631 Enrollment ID: I20230313001346 |
Provider Name | Sheyla Gonzalez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457989451 PECOS PAC ID: 0648691543 Enrollment ID: I20230608003345 |
Provider Name | Alexandra Maria Cruz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952930406 PECOS PAC ID: 0244656510 Enrollment ID: I20230628002594 |
Provider Name | Rosy Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750079026 PECOS PAC ID: 1456711043 Enrollment ID: I20230713003533 |
Provider Name | Tyler Barrett Drury |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1013534643 PECOS PAC ID: 5698198380 Enrollment ID: I20230801000941 |
Provider Name | Rachana Ramesh Amberker |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1316399215 PECOS PAC ID: 1456647627 Enrollment ID: I20230829003658 |
Provider Name | Adaymi Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699480434 PECOS PAC ID: 3274971205 Enrollment ID: I20240409004188 |
Provider Name | Karen Lezcano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902672934 PECOS PAC ID: 0345788675 Enrollment ID: I20240816002469 |
Provider Name | Mavalee C Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508168147 PECOS PAC ID: 9133433576 Enrollment ID: I20240914000194 |
Provider Name | Cullen Reed Nisson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609452341 PECOS PAC ID: 3274935374 Enrollment ID: I20241009004340 |
Provider Name | Juwairiah Mohammad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285245829 PECOS PAC ID: 4486186871 Enrollment ID: I20241009004378 |
Provider Name | Andrea Paola Consuegra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639562119 PECOS PAC ID: 7517499841 Enrollment ID: I20241011001695 |
Provider Name | Anabel Andujar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346764149 PECOS PAC ID: 0941734842 Enrollment ID: I20241114003461 |
Provider Name | Jorge Andres Zuloaga Mendez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144068511 PECOS PAC ID: 6204362866 Enrollment ID: I20241206001028 |
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