| Jorge Rafael Gonzalez Trasobares, | |
| 
					4578 W 12th Ave, Hialeah, FL 33012-3325  | |
| (305) 828-1989 | |
| (786) 791-1253 | 
| Full Name | Jorge Rafael Gonzalez Trasobares | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 4578 W 12th Ave, Hialeah, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1497531057 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11028394 (Florida) | Primary | 
| Entity Name | Iliana Hernandez Md Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1932200953 PECOS PAC ID: 0547246456 Enrollment ID: O20050621000493  | 
| Entity Name | Comprehensive Counseling And Wellness Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275062135 PECOS PAC ID: 8022426071 Enrollment ID: O20210413000664  | 
| Entity Name | Tcm Quality Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609326727 PECOS PAC ID: 0244622017 Enrollment ID: O20220128001029  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jorge Rafael Gonzalez Trasobares, 12126 Sw 249th St, Homestead, FL 33032-5963 Ph: () -  | Jorge Rafael Gonzalez Trasobares, 4578 W 12th Ave, Hialeah, FL 33012-3325 Ph: (305) 828-1989  | 
Evelyn De La C Pardo,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3195 W 72nd Ter, Hialeah, FL 33018 Phone: 786-286-7667 Fax: 786-286-7667  | |
Ms. Albertina Onelia De La Osa, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18530 Nw 81st Ct, Hialeah, FL 33015 Phone: 305-582-6837  | |
Hendrick Vega Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18300 Nw 62nd Ave Ste 100, Hialeah, FL 33015 Phone: 305-749-6203 Fax: 786-520-3173  | |
Emilio Guerrero, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4450 W 16th Ave Apt 524, Hialeah, FL 33012 Phone: 786-269-4060  | |
Dina Marcela Duran,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18900 Wentworth Dr, Hialeah, FL 33015 Phone: 305-498-9595  | |
Yarlie Vincent,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2001 W 68th St, Hialeah, FL 33016 Phone: 786-520-1799  | |
Rebecca Marie Hidalgo, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5420 W 26th Ave, Hialeah, FL 33016 Phone: 786-556-7688  |