Carlos Josue Felico Pupo Sr, APRN | |
10980 Sw 184th St, Cutler Bay, FL 33157-6615 | |
(305) 571-6292 | |
Not Available |
Full Name | Carlos Josue Felico Pupo Sr |
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Gender | Male |
Speciality | Registered Nurse - General Practice |
Location | 10980 Sw 184th St, Cutler Bay, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073113973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163WG0000X | Registered Nurse - General Practice | 11009813 (Florida) | Primary |
Entity Name | Centrum Medical Holdings, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538714282 PECOS PAC ID: 8820422991 Enrollment ID: O20191223002085 |
Mailing Address | Practice Location Address |
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Carlos Josue Felico Pupo Sr, APRN 10405 Old Cutler Rd Apt 202, Cutler Bay, FL 33190-1708 Ph: (786) 650-5190 | Carlos Josue Felico Pupo Sr, APRN 10980 Sw 184th St, Cutler Bay, FL 33157-6615 Ph: (305) 571-6292 |
Dr. Martha Rojo, MEDICAL DOCTOR Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 7766 Sw 193rd Ln, Cutler Bay, FL 33157 Phone: 305-915-1795 | |
Dianna Patricia Cribeiro, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10300 Sw 216th St, Cutler Bay, FL 33190 Phone: 305-253-5100 | |
Katya Velazquez, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10300 Sw 216th St, Cutler Bay, FL 33190 Phone: 305-253-5100 | |
Enis Davis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10300 Sw 216th St, Cutler Bay, FL 33190 Phone: 305-252-4865 Fax: 305-252-4895 | |
Carol Givenlly Perez, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10300 Sw 216th St, Cutler Bay, FL 33190 Phone: 305-253-5100 | |
Erlande Beaubrun, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10300 Sw 216th St, Cutler Bay, FL 33190 Phone: 305-253-5100 |