Jose I Del Risco, | |
12709 Miramar Pkwy, Miramar, FL 33027-2902 | |
(305) 266-2929 | |
(786) 377-5451 |
Full Name | Jose I Del Risco |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 12709 Miramar Pkwy, Miramar, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639773377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F11200686 (Florida) | Primary |
Entity Name | Centrum Medical Holdings, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538714282 PECOS PAC ID: 8820422991 Enrollment ID: O20191223002085 |
Entity Name | Nextlevel Complete Family Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598456972 PECOS PAC ID: 6204299035 Enrollment ID: O20230828001566 |
Mailing Address | Practice Location Address |
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Jose I Del Risco, 8855 Nw 180th Ter, Hialeah, FL 33018-6504 Ph: (786) 200-0628 | Jose I Del Risco, 12709 Miramar Pkwy, Miramar, FL 33027-2902 Ph: (305) 266-2929 |
Jennifer Richards, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3720 Executive Way Ste 106, Miramar, FL 33025 Phone: 877-868-4827 | |
Ivon Gonzalez, A.N.R.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3220 S Douglas Rd Ste A, Miramar, FL 33025 Phone: 954-436-8444 Fax: 954-436-1159 | |
Claudline Pierre Louis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6300 Sw 35th Ct, Miramar, FL 33023 Phone: 786-200-0227 | |
Marie S Laguerre, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13793 Sw 26th St, Miramar, FL 33027 Phone: 305-987-4198 Fax: 954-433-4622 | |
Mrs. Marie Monique Charles, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Knolls Rd, Miramar, FL 33025 Phone: 305-491-3396 | |
Ashley E Huergo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14601 Sw 37th St, Miramar, FL 33027 Phone: 786-942-8781 | |
Katiana Legagneur, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2341 Pine Tree Dr, Miramar, FL 33023 Phone: 239-324-6854 |