| Christopher Patino, | |
|
2030 S Douglas Rd Ste 201, Coral Gables, FL 33134-4615 | |
| (786) 882-2261 | |
| Not Available |
| Full Name | Christopher Patino |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 2030 S Douglas Rd Ste 201, 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 |
|---|---|---|---|
| 1053895078 | NPI | - | NPPES |
| 115558700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 9348711 (Florida) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | APRN9348711 (Florida) | Primary |
| Entity Name | Wellcare Med Group Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235793357 PECOS PAC ID: 2466884416 Enrollment ID: O20191113003287 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Patino, 18741 Nw 24th Ct, Pembroke Pines, FL 33029-5352 Ph: () - | Christopher Patino, 2030 S Douglas Rd Ste 201, Coral Gables, FL 33134-4615 Ph: (786) 882-2261 |
Mayvi Quinones, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5555 Ponce De Leon Blvd Ste 115, Coral Gables, FL 33146 Phone: 305-689-0290 Fax: 305-689-0927 | |
Marissa Tunon Piotrowski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 San Lorenzo Ave, Suite 2345, Coral Gables, FL 33146 Phone: 305-507-3461 | |
Juliette Morales, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 University Dr, Coral Gables, FL 33146 Phone: 786-308-3000 | |
Catherine Gener, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5555 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-555-5555 | |
Holly Howard, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-661-1515 Fax: 305-662-3723 | |
Dalia Catalan Monte, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3971 Sw 8th St Ste 209, Coral Gables, FL 33134 Phone: 786-445-3993 | |
Mrs. Michelle Lakeman Chavoustie, AGAC-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 University Dr, Coral Gables, FL 33146 Phone: 786-308-3000 |