| Paul T Rose, MD | |
|
4425 Ponce De Leon Blvd, Suite 230, Coral Gables, FL 33146-1837 | |
| (305) 448-9100 | |
| (305) 448-1050 |
| Full Name | Paul T Rose |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Mohs-micrographic Surgery |
| Location | 4425 Ponce De Leon Blvd, Coral Gables, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518921618 | NPI | - | NPPES |
| 593094664 | Other | FL | TAX ID |
| 09049 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | ME36846 (Florida) | Primary |
| Entity Name | New Mexico Specialty Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073047825 PECOS PAC ID: 0749558815 Enrollment ID: O20170613002452 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul T Rose, MD 4425 Ponce De Leon Blvd, Suite 230, Coral Gables, FL 33146-1837 Ph: (305) 448-9100 | Paul T Rose, MD 4425 Ponce De Leon Blvd, Suite 230, Coral Gables, FL 33146-1837 Ph: (305) 448-9100 |
Rube J Pardo, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1828 Ponce De Leon Blvd, Coral Gables, FL 33134 Phone: 305-448-5795 Fax: 305-448-5795 | |
Mrs. Diane Loo Gonzalez, APRN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3232 Coral Way Apt 114, Coral Gables, FL 33145 Phone: 305-975-5670 | |
Dr. Jacquelyn Rose Dosal, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146 Phone: 305-443-6606 Fax: 305-443-4890 | |
Dr. Bernard P Nusbaum, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4425 Ponce De Leon Blvd, Suite 230, Coral Gables, FL 33146 Phone: 305-448-9100 Fax: 305-448-9100 | |
Dr. Jeremy Blair Green, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146 Phone: 305-443-6606 Fax: 305-443-4890 | |
Alysa Robin Herman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 135 San Lorenzo Avenue, S.700, Coral Gables, FL 33146 Phone: 305-444-4979 Fax: 305-444-4978 | |
Vitor Filipa Weinman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Coral Way, Suite 207, Coral Gables, FL 33134 Phone: 305-445-2941 Fax: 305-445-7231 |