| Derek James Faridad, MD | |
|
5000 University Dr, Coral Gables, FL 33146-2008 | |
| (786) 308-2301 | |
| (786) 308-2344 |
| Full Name | Derek James Faridad |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 5000 University Dr, Coral Gables, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871537209 | NPI | - | NPPES |
| 285183 | Other | FL | AVMED |
| 256693100 | Medicaid | FL | |
| 46566 | Other | FL | BCBS |
| 300131767 | Other | FL | RAILROAD MEDICARE |
| 041309 | Other | FL | NHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | ME77101 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME77101 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Miami Hospital | South miami, FL | Hospital |
| Baptist Hospital Of Miami | Miami, FL | Hospital |
| Homestead Hospital | Homestead, FL | Hospital |
| West Kendall Baptist Hospital | Miami, FL | Hospital |
| Doctors Hospital | Coral gables, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Outpatient Services Inc | 6002807385 | 163 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Entity Name | Radiology Associates Of South Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699759183 PECOS PAC ID: 5799689659 Enrollment ID: O20031121000573 |
| Entity Name | Baptist Outpatient Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437127529 PECOS PAC ID: 6002807385 Enrollment ID: O20040527000618 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek James Faridad, MD 2555 Ponce De Leon Blvd, 4th Floor, Coral Gables, FL 33134-6010 Ph: (305) 702-5135 | Derek James Faridad, MD 5000 University Dr, Coral Gables, FL 33146-2008 Ph: (786) 308-2301 |
Dr. Rommel German Chiriboga Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5555 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-689-5555 | |
Dr. Anamary Quiros Mesa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1545 San Remo Ave, Coral Gables, FL 33146 Phone: 305-403-4930 Fax: 305-403-4940 | |
Dr. Monica Nicole Diaz-kanelidis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5555 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-689-5555 | |
Dr. Jackeline T Gomez-jorge, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 401 Miracle Mile, Suite 103, Coral Gables, FL 33134 Phone: 888-211-9355 | |
Graciela M. Ruiz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3100 S Douglas Rd, Dept. Of Radiology, Coral Gables, FL 33134 Phone: 305-445-8461 Fax: 305-529-6797 | |
Dr. Laurence Evan Reitman, Radiology Medicare: Accepting Medicare Assignments Practice Location: 5555 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-689-5555 | |
Dr. Robert Mangasarian, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5000 University Dr, Coral Gables, FL 33146 Phone: 786-308-2301 Fax: 786-308-2304 |