| Wilfredo Andres Querol Matos, | |
|
551 E 49th St, Hialeah, FL 33013-1904 | |
| (305) 534-0076 | |
| Not Available |
| Full Name | Wilfredo Andres Querol Matos |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 551 E 49th St, 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 |
|---|---|---|---|
| 1801473103 | NPI | - | NPPES |
| N9932 | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11012199 (Florida) | Primary |
| 363L00000X | Nurse Practitioner | APRN11012199 (Florida) | Secondary |
| Entity Name | Conviva Medical Center Management, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415 |
| Entity Name | Nova Medical Services-specialties Division LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336722321 PECOS PAC ID: 8729481643 Enrollment ID: O20210729000314 |
| Entity Name | Miami Beach Medical Consultants, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891032819 PECOS PAC ID: 2365807799 Enrollment ID: O20230508001323 |
| Entity Name | Nova Medical Services Pain Management & Anesthesiology Division LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417781527 PECOS PAC ID: 7416485594 Enrollment ID: O20250117000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilfredo Andres Querol Matos, 1400 Nw 107th Ave Ste 500, Sweetwater, FL 33172-2746 Ph: (305) 534-0076 | Wilfredo Andres Querol Matos, 551 E 49th St, Hialeah, FL 33013-1904 Ph: (305) 534-0076 |
Alexis Ricardo Melo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6730 W 26th Ct Apt 13, Hialeah, FL 33016 Phone: 786-390-7221 |
Ms. Albertina Onelia De La Osa, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18530 Nw 81st Ct, Hialeah, FL 33015 Phone: 305-582-6837 |
Hendrick Vega Medina, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18300 Nw 62nd Ave Ste 100, Hialeah, FL 33015 Phone: 305-749-6203 Fax: 786-520-3173 |
Emilio Guerrero, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4450 W 16th Ave Apt 524, Hialeah, FL 33012 Phone: 786-269-4060 |
Dina Marcela Duran, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18900 Wentworth Dr, Hialeah, FL 33015 Phone: 305-498-9595 |
Yarlie Vincent, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2001 W 68th St, Hialeah, FL 33016 Phone: 786-520-1799 |
Vivian Marlene Aleman, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 761 Hialeah Dr, Hialeah, FL 33010 Phone: 786-338-3365 |