| Gonzalo Portal Lemock, APRN | |
|
18300 Nw 62nd Ave Ste 210, Miami Gardens, FL 33015-8207 | |
| (786) 677-9922 | |
| (844) 895-3066 |
| Full Name | Gonzalo Portal Lemock |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 18300 Nw 62nd Ave Ste 210, Miami Gardens, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306614920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11030115 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Passqual Inc | 2264848290 | 4 |
| Entity Name | Passqual Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427677319 PECOS PAC ID: 2264848290 Enrollment ID: O20210317000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzalo Portal Lemock, APRN 18300 Nw 62nd Ave Ste 210, Miami Gardens, FL 33015-8207 Ph: (786) 677-9922 | Gonzalo Portal Lemock, APRN 18300 Nw 62nd Ave Ste 210, Miami Gardens, FL 33015-8207 Ph: (786) 677-9922 |
Marisol D Casas Buchillon, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19150 Nw 44th Ave, Miami Gardens, FL 33055 Phone: 786-663-8524 | |
Sheere Ann Pearson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16401 Nw 37th Ave, Miami Gardens, FL 33054 Phone: 561-543-3210 | |
Drayshawn Oliver, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3470 Nw 194th St, Miami Gardens, FL 33056 Phone: 786-587-0979 | |
Mrs. Youseline Augustin-trevol, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1466nw 208th St, 1466 Nw 208 St Miami Gardens Fl 33169, Miami Gardens, FL 33169 Phone: 305-586-6190 | |
Eldris C Delgado, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5457 Nw 169th Ter, Miami Gardens, FL 33055 Phone: 786-384-4840 | |
Joy J Munajj-brown, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20612 Nw 27th Ave, Miami Gardens, FL 33056 Phone: 305-637-6400 Fax: 305-636-5155 | |
Nelson De La Cerda, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19021 Nw 54th Ave, Miami Gardens, FL 33055 Phone: 786-231-8473 |