| Nivea R Ribas M D P A | |
|
5801 Nw 151st St Ste 206 Miami Lakes FL 33014-2437 | |
| (305) 826-3931 | |
| (305) 826-5102 |
| Full Name | Nivea R Ribas M D P A |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5801 Nw 151st St, Miami Lakes, Florida |
| Authorized Official Name and Position | Nivea R Ribas (M D P A) |
| Authorized Official Contact | 3058263931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nivea R Ribas M D P A 5801 Nw 151st St Ste 206 Miami Lakes FL 33014-2437 Ph: (305) 826-3931 | Nivea R Ribas M D P A 5801 Nw 151st St Ste 206 Miami Lakes FL 33014-2437 Ph: (305) 826-3931 |
| NPI Number | 1912960824 |
|---|---|
| Provider Enumeration Date | 04/11/2006 |
| Last Update Date | 06/11/2008 |
| Medicare PECOS PAC ID | 2062583313 |
|---|---|
| Medicare Enrollment ID | O20080714000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912960824 | NPI | - | NPPES |
| 262443500 | Medicaid | FL | |
| DB1607 | Other | FL | PALMETTO GBA |
| 38524 | Other | FL | BCBS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0064461 (Florida) | Primary |
| Provider Name | Nivea R Ribas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699773895 PECOS PAC ID: 9234213083 Enrollment ID: I20080303000752 |
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