| Lisney Rodriguez Gutierrez, | |
|
5901 Sw 74th St Ste 211, South Miami, FL 33143-5150 | |
| (786) 228-6892 | |
| Not Available |
| Full Name | Lisney Rodriguez Gutierrez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 5901 Sw 74th St Ste 211, South Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598515017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11034190 (Florida) | Primary |
| 163WM0705X | Registered Nurse - Medical-surgical | RN9416306 (Florida) | Secondary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisney Rodriguez Gutierrez, 5901 Sw 74th St Ste 211, South Miami, FL 33143-5150 Ph: (786) 228-6892 | Lisney Rodriguez Gutierrez, 5901 Sw 74th St Ste 211, South Miami, FL 33143-5150 Ph: (786) 228-6892 |
Mrs. Silvia Godoy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7330 Sw 62nd Pl, South Miami, FL 33143 Phone: 305-669-0900 | |
Anamaris Ibarra, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6705 S Red Rd, 714, South Miami, FL 33143 Phone: 305-662-1160 | |
Nielys Francis Ingles Diaz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6705 Sw 57th Ave Ste 510, South Miami, FL 33143 Phone: 305-850-9103 | |
Mrs. Adriana M Ballestas, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7300 Sw 62nd Pl Fl 4, South Miami, FL 33143 Phone: 305-662-7901 | |
Amilcar Rey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6200 Sw 73rd St, South Miami, FL 33143 Phone: 786-662-8194 | |
Ms. Maureen Lauren Clancy, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6200 Sunset Dr, Suite 304, South Miami, FL 33143 Phone: 305-662-1550 Fax: 305-662-5930 | |
Ms. Svetlana Shurik, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6200 Sw 73rd St, South Miami, FL 33143 Phone: 786-662-0455 |