| Gustavo Pantol, | |
|
1475 Nw 12th Ave, Miami, FL 33136-1002 | |
| (305) 243-5512 | |
| (305) 243-4613 |
| Full Name | Gustavo Pantol |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 1475 Nw 12th Ave, Miami, 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 |
|---|---|---|---|
| 1942594908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 248606 (Massachusetts) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME112370 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida Aventura Hospital | Aventura, FL | Hospital |
| Hca Florida Westside Hospital | Plantation, FL | Hospital |
| Hca Florida Kendall Hospital | Miami, FL | Hospital |
| Hca Florida West Hospital | Pensacola, FL | Hospital |
| Hca Florida Mercy Hospital | Miami, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Qmg, Llc | 2961590435 | 30 |
| Intellirad Imaging Llc | 9739333790 | 60 |
| 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 | Radiology Consultants of Hollywood Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568565430 PECOS PAC ID: 5597795344 Enrollment ID: O20050822000350 |
| Entity Name | Qmg, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790079309 PECOS PAC ID: 2961590435 Enrollment ID: O20120710000101 |
| Entity Name | Intellirad Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073859484 PECOS PAC ID: 9739333790 Enrollment ID: O20130129000484 |
| Entity Name | University of Miami |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013967827 PECOS PAC ID: 3274795109 Enrollment ID: O20200406001006 |
| Mailing Address | Practice Location Address |
|---|---|
| Gustavo Pantol, 1475 Nw 12th Ave, Miami, FL 33136-1002 Ph: (305) 243-5512 | Gustavo Pantol, 1475 Nw 12th Ave, Miami, FL 33136-1002 Ph: (305) 243-5512 |
Dr. Brian F Baigorri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3663 S Miami Ave, Miami, FL 33133 Phone: 305-854-4400 |
Dr. Justin Matthew Rafael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1960 Fax: 305-273-0254 |
Tate Hodges, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1272 |
Aazim Syed Arif, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-1111 |
Damian Mendoza, RDMS, RDCS, RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 4100 Sw 57th Ave, Miami, FL 33155 Phone: 305-856-1064 |
Mr. Hao V Vuong, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1960 |
Roberto Calderon, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 11750 Sw 40th St, Miami, FL 33175 Phone: 305-665-4614 Fax: 305-667-0239 |