| Marielys Cantillo, | |
|
1479 Nw 27th Ave, Miami, FL 33125-2133 | |
| (305) 633-3776 | |
| (305) 633-3776 |
| Full Name | Marielys Cantillo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1479 Nw 27th Ave, Miami, 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 |
|---|---|---|---|
| 1124722095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11024556 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pl Roberts Id Llc | 1658818299 | 4 |
| Sji Medical Pa | 8729325600 | 4 |
| Entity Name | Clinica Las Mercedes, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326090960 PECOS PAC ID: 5890750731 Enrollment ID: O20041119000908 |
| Entity Name | Juan C Querol Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811011588 PECOS PAC ID: 5597721936 Enrollment ID: O20041207000744 |
| Entity Name | Sji Medical Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366932527 PECOS PAC ID: 8729325600 Enrollment ID: O20190130002879 |
| Entity Name | Pl Roberts Id Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700622412 PECOS PAC ID: 1658818299 Enrollment ID: O20240801000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Marielys Cantillo, 1479 Nw 27th Ave, Miami, FL 33125-2133 Ph: (305) 633-3776 | Marielys Cantillo, 1479 Nw 27th Ave, Miami, FL 33125-2133 Ph: (305) 633-3776 |
Mrs. Dania M Verdecia, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7200 Nw 7th St Ste 202, Miami, FL 33126 Phone: 305-266-2929 | |
Ms. Barbara Hassanzadeh, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7101 Sw 99th Ave, Ste 108, Miami, FL 33173 Phone: 305-630-3300 Fax: 305-630-2558 | |
Wanda Laverne Mcgowan-braynen, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-1111 Fax: 305-999-9941 | |
Beth R Wolf, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5200 Ne 2nd Ave, Miami, FL 33137 Phone: 305-751-8626 | |
Suzanne Marie Boyd, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3200 Sw 60th Ct Ste 302, Miami, FL 33155 Phone: 954-371-0107 Fax: 305-663-2813 | |
Mr. Noel Medina Rojo, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12011 Sw 24th Ter, Miami, FL 33175 Phone: 305-753-4368 | |
Mrs. Sherley Charles, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1272 Nw 119th St, Miami, FL 33167 Phone: 305-685-5688 |