| Miss Hailys Lezcano Vento, | |
| 1460 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4617 | |
| (305) 266-2929 | |
| (305) 504-8868 | 
| Full Name | Miss Hailys Lezcano Vento | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1460 E Hallandale Beach Blvd, Hallandale Beach, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265037691 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11008529 (Georgia) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 11008529 (Florida) | Primary | 
| 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 | Medcare Centers Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1114485638 PECOS PAC ID: 4082046982 Enrollment ID: O20191114001997 | 
| Entity Name | Centrum Medical Holdings, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538714282 PECOS PAC ID: 8820422991 Enrollment ID: O20191223002085 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Miss Hailys Lezcano Vento, 9200 Bay Harbor Ter Apt 3a, Bay Harbor Islands, FL 33154-2733 Ph: (305) 790-3082 | Miss Hailys Lezcano Vento, 1460 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4617 Ph: (305) 266-2929 | 
| Stephany Marie Diaz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Silks Run, Hallandale Beach, FL 33009 Phone: 305-760-1431 | |
| Guillermo Carabeo,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Golden Isles Dr Apt F4, Hallandale Beach, FL 33009 Phone: 786-587-5190 | |
| Dr. Ilyse M Rao, DC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 E Hallandale Beach Blvd, Suite 14, Hallandale Beach, FL 33009 Phone: 954-455-2030 | |
| Mrs. Alicia Jimenez, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 W Pembroke Rd Ste 322, Hallandale Beach, FL 33009 Phone: 954-932-0299 Fax: 954-932-0298 | |
| Adis Nuvia Azahares Chirino, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 E Hallandale Beach Blvd Ste 402, Hallandale Beach, FL 33009 Phone: 754-202-2351 | |
| Tania Guerrier Castor, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 107 Ne 3rd St, Hallandale Beach, FL 33009 Phone: 754-294-4357 Fax: 754-764-0070 | |
| Ariel Amador Gonzalez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 E Hallandale Beach Blvd Ste Qr, Hallandale Beach, FL 33009 Phone: 954-505-5009 Fax: 954-507-4486 |