| Juan Gabriel Quiros, MD | |
|
1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | |
| (954) 561-6222 | |
| (954) 990-7650 |
| Full Name | Juan Gabriel Quiros |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1400 E Oakland Park Blvd Ste 210, Oakland Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427587757 | NPI | - | NPPES |
| 112149300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME146505 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME146505 (Florida) | Primary |
| Entity Name | Florida Personal Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144797838 PECOS PAC ID: 5799101499 Enrollment ID: O20200812001069 |
| Entity Name | Dgp Health & Wellness Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235723081 PECOS PAC ID: 6800295999 Enrollment ID: O20210521000956 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Gabriel Quiros, MD 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 Ph: (954) 561-6222 | Juan Gabriel Quiros, MD 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 Ph: (954) 561-6222 |
Dr. Rene Augusto Poveda, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5599 N Dixie Hwy, Oakland Park, FL 33334 Phone: 954-771-2101 Fax: 954-229-7734 | |
Dr. Sandeep Mendiratta, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334 Phone: 954-561-6222 Fax: 954-990-7650 | |
Perpetua Nneka Ezeh-aideyan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5757 N Dixie Hwy, Oakland Park, FL 33334 Phone: 305-284-7761 | |
Jose Alberto Hawayek Carrera, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334 Phone: 954-561-6222 Fax: 954-990-7650 | |
Maria Anna Varvara, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334 Phone: 954-561-6222 Fax: 954-990-7650 | |
Jean Robert Dorestin, APRN Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2880 W Oakland Park Blvd Ste 125e, Oakland Park, FL 33311 Phone: 954-871-9828 |