| Giovanni Antonio Mictil, MSN - CRNA | |
| 
					66-4 Calle 53, Carolina, PR 00985-4926  | |
| (787) 233-5986 | |
| Not Available | 
| Full Name | Giovanni Antonio Mictil | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 66-4 Calle 53, Carolina, Puerto Rico | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942944012 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 720306 (New York) | Primary | 
| Entity Name | Emergenchealth Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Giovanni Antonio Mictil, MSN - CRNA 66-4 Calle 53, Carolina, PR 00985-4926 Ph: (787) 233-5986  | Giovanni Antonio Mictil, MSN - CRNA 66-4 Calle 53, Carolina, PR 00985-4926 Ph: (787) 233-5986  | 
Reynaldo Lluberes Martinez,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Urb Villa Fontana, Via Diana Tr3, Carolina, PR 00983 Phone: 787-340-5934  | |
Jose Gilberto Fanfan,  Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Calle33 T-4 Jardines De Country Club, Carolina, PR 00983 Phone: 787-692-6006  | |
Carmen Gisela Romero-ortiz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 193-15 Calle 526, Carolina, PR 00985 Phone: 254-681-9564  | |
Lilliana Villar Menendez,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Km 8. P.r 3, Calle 3, Carolina, PR 00984 Phone: 787-757-1800  |