| Raisa Capote Perez, | |
|
5801 Nw 151st St Ste 106, Miami Lakes, FL 33014-2437 | |
| (305) 640-8393 | |
| (305) 639-8314 |
| Full Name | Raisa Capote Perez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5801 Nw 151st St Ste 106, Miami Lakes, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669258489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11028435 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 11028435 (Florida) | Primary |
| Entity Name | New Life Med Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356943609 PECOS PAC ID: 2264845155 Enrollment ID: O20210114001180 |
| Mailing Address | Practice Location Address |
|---|---|
| Raisa Capote Perez, 5801 Nw 151st St Ste 106, Miami Lakes, FL 33014-2437 Ph: (305) 640-8393 | Raisa Capote Perez, 5801 Nw 151st St Ste 106, Miami Lakes, FL 33014-2437 Ph: (305) 640-8393 |
Ana M Hernandez-casablanca, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 6914 Main St, Apt. 264, Miami Lakes, FL 33014 Phone: 787-344-0196 | |
Jocelyne E Blanco, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6510 Main St Apt 203, Miami Lakes, FL 33014 Phone: 786-203-9182 | |
Priscilla Garcia, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7980 Nw 155th St, Miami Lakes, FL 33016 Phone: 305-418-0392 | |
Ms. Annissa Irene Belfort, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14645 Nw 77th Ave Ste 101, Miami Lakes, FL 33014 Phone: 833-769-3524 Fax: 786-206-5877 | |
Aniuska Ponce, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6800 Gleneagle Dr, Miami Lakes, FL 33014 Phone: 305-450-6337 | |
Rochelle Patrice Bradley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7942 Nw 164th Ter, Miami Lakes, FL 33016 Phone: 786-564-4092 | |
Yuliza Chao Cuba, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15105 Nw 77th Ave, Miami Lakes, FL 33014 Phone: 305-455-2737 Fax: 305-455-2738 |