| Keesha Pacheco, APRN | |
|
20850 Sw 90th Pl Bay 33189, Cutler Bay, FL 33189-3919 | |
| (130) 549-4871 | |
| Not Available |
| Full Name | Keesha Pacheco |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 20850 Sw 90th Pl Bay 33189, Cutler Bay, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245093392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11028805 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 2023063441 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida Mercy Hospital | Miami, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Victor Lopez De Mendoza, Md Pllc | 3274718226 | 8 |
| Entity Name | Public Health Trust of Miami Dade County Florida |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134384423 PECOS PAC ID: 0244380434 Enrollment ID: O20090610000019 |
| Entity Name | Victor Lopez De Mendoza, MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558660167 PECOS PAC ID: 3274718226 Enrollment ID: O20110506000318 |
| Entity Name | Public Health Trust of Miami Dade County Florida |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1225033020 PECOS PAC ID: 8628981925 Enrollment ID: O20171025000826 |
| Mailing Address | Practice Location Address |
|---|---|
| Keesha Pacheco, APRN 20850 Sw 90th Pl Bay 33189, Cutler Bay, FL 33189-3919 Ph: (130) 549-4871 | Keesha Pacheco, APRN 20850 Sw 90th Pl Bay 33189, Cutler Bay, FL 33189-3919 Ph: (130) 549-4871 |