| Urgent Care Physicians Of Country Walk Llc | |
|
13500 Sw 152nd St Miami FL 33177-1111 | |
| (786) 596-4300 | |
| Not Available |
| Full Name | Urgent Care Physicians Of Country Walk Llc |
|---|---|
| Speciality | General Practice |
| Location | 13500 Sw 152nd St, Miami, Florida |
| Authorized Official Name and Position | David Raymond Nateman (OWNER) |
| Authorized Official Contact | 7868888820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Care Physicians Of Country Walk Llc Po Box 162848 Altamonte Springs FL 32716-2848 Ph: (786) 888-8820 | Urgent Care Physicians Of Country Walk Llc 13500 Sw 152nd St Miami FL 33177-1111 Ph: (786) 596-4300 |
| NPI Number | 1689838849 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 02/26/2024 |
| Medicare PECOS PAC ID | 6204990385 |
|---|---|
| Medicare Enrollment ID | O20090402000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689838849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Mario L Nunez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699735258 PECOS PAC ID: 3779483581 Enrollment ID: I20040109000311 |
| Provider Name | Denise Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912961293 PECOS PAC ID: 5092787804 Enrollment ID: I20040811001210 |
| Provider Name | Davert A Pardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174586465 PECOS PAC ID: 9133197494 Enrollment ID: I20040923000865 |
| Provider Name | Alfredo Hevia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891725164 PECOS PAC ID: 6507834769 Enrollment ID: I20040924000389 |
| Provider Name | Jacqueline Miodownik-aisenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740210095 PECOS PAC ID: 2466416953 Enrollment ID: I20041115000841 |
| Provider Name | Anthony J Pizarro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588682157 PECOS PAC ID: 8224095351 Enrollment ID: I20041210000201 |
| Provider Name | Philip C Weimer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023052859 PECOS PAC ID: 2860382074 Enrollment ID: I20050512000788 |
| Provider Name | Keila Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417909375 PECOS PAC ID: 6709809247 Enrollment ID: I20060110000964 |
| Provider Name | David R Nateman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568490266 PECOS PAC ID: 3678557394 Enrollment ID: I20061018000255 |
| Provider Name | Ana Peralta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558395434 PECOS PAC ID: 9234138561 Enrollment ID: I20061213000427 |
| Provider Name | Adalberto D Arroyo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346206257 PECOS PAC ID: 1355387556 Enrollment ID: I20061220000279 |
| Provider Name | Jary Pando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194822353 PECOS PAC ID: 5395745392 Enrollment ID: I20061221000353 |
| Provider Name | Kathleen J Nateman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487686028 PECOS PAC ID: 9133129620 Enrollment ID: I20070108000075 |
| Provider Name | Thomas M Steed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083720825 PECOS PAC ID: 6002919644 Enrollment ID: I20070320000060 |
| Provider Name | Stefano Mion Bet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396774956 PECOS PAC ID: 0749380442 Enrollment ID: I20070710000996 |
| Provider Name | Jorge L Nonell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851400600 PECOS PAC ID: 7719078872 Enrollment ID: I20070806000054 |
| Provider Name | Sendy Jean-louis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073527446 PECOS PAC ID: 1355437807 Enrollment ID: I20071016000089 |
| Provider Name | Alexis Perera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285780387 PECOS PAC ID: 1951484757 Enrollment ID: I20080218000380 |
| Provider Name | Zeidan Hammad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801001391 PECOS PAC ID: 3274619945 Enrollment ID: I20080320000204 |
| Provider Name | Luis E Puron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710175526 PECOS PAC ID: 2365522158 Enrollment ID: I20080729000748 |
| Provider Name | Bari C Conte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700060605 PECOS PAC ID: 8527042241 Enrollment ID: I20081117000554 |
| Provider Name | Christopher L Queen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578754636 PECOS PAC ID: 2860552502 Enrollment ID: I20081125000461 |
| Provider Name | Roberto Carpio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083879696 PECOS PAC ID: 2062575269 Enrollment ID: I20090114000659 |
| Provider Name | Jorge J Santin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649436734 PECOS PAC ID: 8224191218 Enrollment ID: I20090117000105 |
| Provider Name | Enrique J Aymerich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942457692 PECOS PAC ID: 5597829119 Enrollment ID: I20090127000274 |
| Provider Name | Rainer Mederos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023268380 PECOS PAC ID: 0143384214 Enrollment ID: I20090204000517 |
| Provider Name | Maria A Vegas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982813861 PECOS PAC ID: 7911063383 Enrollment ID: I20090310000324 |
| Provider Name | Nilson E Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265679104 PECOS PAC ID: 4284791476 Enrollment ID: I20090313000460 |
| Provider Name | Maurin Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982783353 PECOS PAC ID: 5890827737 Enrollment ID: I20100713000403 |
| Provider Name | Jose F Llach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174732705 PECOS PAC ID: 5395860589 Enrollment ID: I20100910000959 |
| Provider Name | Rogelio O Bardinas Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043458326 PECOS PAC ID: 9638351745 Enrollment ID: I20110310000858 |
| Provider Name | Ana Paola Orozco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790906154 PECOS PAC ID: 6305998477 Enrollment ID: I20110329000825 |
| Provider Name | Josette Boukhalil Laklak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528022332 PECOS PAC ID: 4284812256 Enrollment ID: I20110621000609 |
| Provider Name | Maria E Carpio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073833653 PECOS PAC ID: 3274711254 Enrollment ID: I20110621000653 |
| Provider Name | Fernando Chedebeau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013115534 PECOS PAC ID: 6406024520 Enrollment ID: I20110715000512 |
| Provider Name | Ariadna Valdes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841451929 PECOS PAC ID: 3072784073 Enrollment ID: I20110923000300 |
| Provider Name | Dina Z Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689816191 PECOS PAC ID: 2062668387 Enrollment ID: I20120801000878 |
| Provider Name | Mario Alberto Jimenez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225353766 PECOS PAC ID: 9739334376 Enrollment ID: I20130305000069 |
| Provider Name | Javier A Baez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457552531 PECOS PAC ID: 8729221304 Enrollment ID: I20130829000452 |
| Provider Name | Yenny M Ceballos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063848356 PECOS PAC ID: 1052535663 Enrollment ID: I20140620000659 |
| Provider Name | Gerard J Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720236003 PECOS PAC ID: 8426229170 Enrollment ID: I20150421002534 |
| Provider Name | Octavio Avila Zamora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649538828 PECOS PAC ID: 5991927253 Enrollment ID: I20150729007357 |
| Provider Name | Mercedes Ponce De Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346500782 PECOS PAC ID: 3577871466 Enrollment ID: I20150925001131 |
| Provider Name | Tania A Velez Calao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942573316 PECOS PAC ID: 4486957966 Enrollment ID: I20160115000828 |
| Provider Name | Jose Ramon Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508108390 PECOS PAC ID: 1254638166 Enrollment ID: I20160321000915 |
| Provider Name | Carlos A Penaherrera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861838823 PECOS PAC ID: 1759674534 Enrollment ID: I20160802000074 |
| Provider Name | Uri Shoshan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639596307 PECOS PAC ID: 5890085443 Enrollment ID: I20161219002869 |
| Provider Name | Etienne De La Nuez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619429545 PECOS PAC ID: 8820379027 Enrollment ID: I20161230000821 |
| Provider Name | Nicole M Schwenker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306380480 PECOS PAC ID: 2961784251 Enrollment ID: I20170121000063 |
| Provider Name | Jennifer Sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003365461 PECOS PAC ID: 9638453913 Enrollment ID: I20170306000967 |
| Provider Name | Aissel Faquir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144772096 PECOS PAC ID: 3173527876 Enrollment ID: I20170327001352 |
| Provider Name | Susanna U Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962743823 PECOS PAC ID: 2466737523 Enrollment ID: I20170403000550 |
| Provider Name | Estela M Perez Garay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104182799 PECOS PAC ID: 4284949090 Enrollment ID: I20170613002476 |
| Provider Name | Hector Naranjo Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730323270 PECOS PAC ID: 8527332295 Enrollment ID: I20170919001230 |
| Provider Name | Niyasdeen Dieguez Santiesteban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669737953 PECOS PAC ID: 2163784778 Enrollment ID: I20180320000518 |
| Provider Name | Nancy Palenzuela Calzado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578064960 PECOS PAC ID: 6507119963 Enrollment ID: I20181101000522 |
| Provider Name | Neha Birju Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851589782 PECOS PAC ID: 2163698606 Enrollment ID: I20190405000665 |
| Provider Name | Moshe Daniel Yatzkan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992150460 PECOS PAC ID: 5193018067 Enrollment ID: I20190604000851 |
| Provider Name | Julian A Flores |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134574544 PECOS PAC ID: 2860783800 Enrollment ID: I20190725001024 |
| Provider Name | Roy Barski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497258164 PECOS PAC ID: 8123354131 Enrollment ID: I20190730000658 |
| Provider Name | Roger Alvarez Soto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598111924 PECOS PAC ID: 6204196116 Enrollment ID: I20191008001375 |
| Provider Name | Monica Mauri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124476999 PECOS PAC ID: 1557692415 Enrollment ID: I20191008003114 |
| Provider Name | Eduardo E Lopez Del Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457715096 PECOS PAC ID: 5395007637 Enrollment ID: I20191022002550 |
| Provider Name | Fausto Fito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558724377 PECOS PAC ID: 9931492345 Enrollment ID: I20191119002769 |
| Provider Name | Ignacio Bernal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679121164 PECOS PAC ID: 9133556913 Enrollment ID: I20200218001276 |
| Provider Name | Lisette Portes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508137670 PECOS PAC ID: 9931524972 Enrollment ID: I20200807000296 |
| Provider Name | Zhenia Barbara Alarcon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043313232 PECOS PAC ID: 0749290682 Enrollment ID: I20200824001062 |
| Provider Name | Veysy Borges Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669919155 PECOS PAC ID: 8527336999 Enrollment ID: I20200831001907 |
| 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 | Kenia Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255098844 PECOS PAC ID: 7810375813 Enrollment ID: I20220603000339 |
| Provider Name | Fernanda Ponce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194285486 PECOS PAC ID: 1052792132 Enrollment ID: I20220901003619 |
| Provider Name | Oscar J Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689317737 PECOS PAC ID: 2668848441 Enrollment ID: I20221019001368 |
| Provider Name | Juan Manuel Dangond Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467073254 PECOS PAC ID: 6608220884 Enrollment ID: I20230921001107 |
| Provider Name | Yosen Rodriguez Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104426766 PECOS PAC ID: 8820439250 Enrollment ID: I20240515004016 |
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