| Noel E Lezama, MD | |
|
8074 Nw 103rd St, Suite 20, Hialeah Gardens, FL 33016 | |
| (305) 826-4307 | |
| (305) 826-6790 |
| Full Name | Noel E Lezama |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 8074 Nw 103rd St, Hialeah Gardens, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275693137 | NPI | - | NPPES |
| 004484000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 90883 (Florida) | Primary |
| Entity Name | Hialeah Medical Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104984236 PECOS PAC ID: 2062446404 Enrollment ID: O20050924000019 |
| Entity Name | Carevantage Medical Centers Of Miami At Hialeah, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982971867 PECOS PAC ID: 6002043163 Enrollment ID: O20131216001869 |
| Entity Name | Carevantage Medical Centers Of Broward At Stirling Road,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972871937 PECOS PAC ID: 7618107459 Enrollment ID: O20140224000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Noel E Lezama, MD 8074 Nw 103rd St Ste 20, Hialeah Gardens, FL 33016-2256 Ph: (305) 826-4307 | Noel E Lezama, MD 8074 Nw 103rd St, Suite 20, Hialeah Gardens, FL 33016 Ph: (305) 826-4307 |
Yamile Hernandez, MD General Practice Medicare: Medicare Enrolled Practice Location: 8302 Nw 103rd St Ste 201, Hialeah Gardens, FL 33016 Phone: 786-651-2442 Fax: 786-528-8585 | |
Gustavo Forteza, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 10550 Nw 77th Ct Ste 308, Hialeah Gardens, FL 33016 Phone: 305-863-2233 Fax: 305-504-8813 |