| Mr Jose Antonio Puerto, PHYSICIAN ASSISTANT | |
|
18610 Nw 87th Ave, Suite 101 And 201, Hialeah, FL 33015-3518 | |
| (305) 829-5000 | |
| (305) 829-5033 |
| Full Name | Mr Jose Antonio Puerto |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 18610 Nw 87th 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 |
|---|---|---|---|
| 1073546933 | NPI | - | NPPES |
| 292159600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9100243 (Florida) | Primary |
| Entity Name | American Current Care PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770719296 PECOS PAC ID: 9739260019 Enrollment ID: O20090521000123 |
| Entity Name | Guidewell Sanitas I, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396124046 PECOS PAC ID: 9537447107 Enrollment ID: O20161102001073 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jose Antonio Puerto, PHYSICIAN ASSISTANT 8400 Nw 33rd St, Suite 201, Doral, FL 33122-1937 Ph: (786) 408-8502 | Mr Jose Antonio Puerto, PHYSICIAN ASSISTANT 18610 Nw 87th Ave, Suite 101 And 201, Hialeah, FL 33015-3518 Ph: (305) 829-5000 |
Marlene Chris Machado, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4578 W 12th Ave, Hialeah, FL 33012 Phone: 053-828-1989 |
Ramon Estopinan Canovas, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18092 Nw 87th Ct, Hialeah, FL 33018 Phone: 305-613-8109 |
Dr. Israel Jonathan Tchaban, M.D., S.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7100 W 20th Ave, Hialeah, FL 33016 Phone: 305-823-9120 Fax: 305-824-8839 |
Aracelys Hernandez Miarabal, CBHCM, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5741 W 20th Ct, Hialeah, FL 33016 Phone: 786-468-3317 |
Gabrielle Fernandez, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1698 W 65th St, Hialeah, FL 33012 Phone: 305-200-6137 |
Miguel Eduardo Gutierrez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3070 W 12th Ave, Hialeah, FL 33012 Phone: 786-313-0747 Fax: 786-313-0749 |
Gelsy Naranjo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 695 E 8th Ave, Hialeah, FL 33010 Phone: 786-908-3527 |