| Pablo Erasmo Gomez Ruiz, SA-C | |
|
16521 Sw 60th Ter, Miami, FL 33193-5705 | |
| (956) 701-5412 | |
| Not Available |
| Full Name | Pablo Erasmo Gomez Ruiz |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 16521 Sw 60th Ter, 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 |
|---|---|---|---|
| 1518422906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11039203 (Florida) | Primary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 16-226 (Wisconsin) | Secondary |
| Entity Name | Ccr Medical Center, LLC. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518598119 PECOS PAC ID: 0648608950 Enrollment ID: O20200320000885 |
| Mailing Address | Practice Location Address |
|---|---|
| Pablo Erasmo Gomez Ruiz, SA-C 16521 Sw 60th Ter, Miami, FL 33193-5705 Ph: (956) 701-5412 | Pablo Erasmo Gomez Ruiz, SA-C 16521 Sw 60th Ter, Miami, FL 33193-5705 Ph: (956) 701-5412 |
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 |
Prof. Henry Henao, MSN, ARNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11200 Sw 8th Street Academic Health Center 3, 305a, Miami, FL 33199 Phone: 305-348-1082 |
Luis Mario Molina, MA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15736 Sw 50th Ter, Miami, FL 33185 Phone: 786-294-2772 |
Dr. Dinapoles Galvan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 484 Nw 165th Street Rd Apt 409, Miami, FL 33169 Phone: 312-451-3853 Fax: 217-771-1679 |
Mr. Noel Medina Rojo, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12011 Sw 24th Ter, Miami, FL 33175 Phone: 305-753-4368 |