| Yarelis Gonzalez Pantoja, APRN | |
| 
					16706 Carlton Pond St, Wimauma, FL 33598-2436  | |
| (832) 276-3119 | |
| Not Available | 
| Full Name | Yarelis Gonzalez Pantoja | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 16706 Carlton Pond St, Wimauma, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841838711 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 980394 (Texas) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 11031670 (Florida) | Primary | 
| Entity Name | Physicians Specialties Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285239269 PECOS PAC ID: 1759748981 Enrollment ID: O20230604000005  | 
| Entity Name | Kira Health & Wellness Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1265266159 PECOS PAC ID: 9436689072 Enrollment ID: O20250211003326  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Yarelis Gonzalez Pantoja, APRN 16706 Carlton Pond St, Wimauma, FL 33598-2436 Ph: (832) 276-3119  | Yarelis Gonzalez Pantoja, APRN 16706 Carlton Pond St, Wimauma, FL 33598-2436 Ph: (832) 276-3119  | 
Elizabeth L Roszel, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5121 State Road 674, Wimauma, FL 33598 Phone: 813-633-8555 Fax: 813-349-7861  | |
Rose Lasher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5121 Hwy 674, Wimauma, FL 33598 Phone: 813-653-6100  | |
Luis Antonio Garcia Alvarado, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10838 Standing Stone Dr, Wimauma, FL 33598 Phone: 813-802-5932  | |
Ruby Arroyo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2505 Nettlow Ln, Wimauma, FL 33598 Phone: 813-424-6109  | |
Ronsae Mallard, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10803 Carloway Hills Dr, Wimauma, FL 33598 Phone: 386-288-5697  | |
Teana Marie Knight, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16729 Delia St, Wimauma, FL 33598 Phone: 813-784-6385  | |
Dr. Ingrid Maria Suazo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14615 Crescent Rock Dr, Wimauma, FL 33598 Phone: 813-898-3536  |