| Latinos Salud | |
|
1401 Ne 26th St Wilton Manors FL 33305-1321 | |
| (954) 765-6239 | |
| (954) 827-7780 |
| Full Name | Latinos Salud |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1401 Ne 26th St, Wilton Manors, Florida |
| Authorized Official Name and Position | Stephen Fallon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9547656239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Latinos Salud 1401 Ne 26th St Wilton Manors FL 33305-1321 Ph: (954) 765-6239 | Latinos Salud 1401 Ne 26th St Wilton Manors FL 33305-1321 Ph: (954) 765-6239 |
| NPI Number | 1447872213 |
|---|---|
| Provider Enumeration Date | 05/14/2020 |
| Last Update Date | 08/08/2025 |
| Certification Date | 08/08/2025 |
| Medicare PECOS PAC ID | 4587039722 |
|---|---|
| Medicare Enrollment ID | O20230331001027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447872213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Gabriel Benitez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790251197 PECOS PAC ID: 5294076055 Enrollment ID: I20190405000046 |
| Provider Name | Reynier Tapanes Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376016220 PECOS PAC ID: 9739410655 Enrollment ID: I20191008000917 |
| Provider Name | Joel Ramos Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417611906 PECOS PAC ID: 8325417744 Enrollment ID: I20230331001543 |
| Provider Name | Kensy Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457084436 PECOS PAC ID: 5597135269 Enrollment ID: I20230424003080 |
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