| Florida International University Board Of Trustees | |
|
800 Sw 108th Ave Ste 100 Miami FL 33174-2555 | |
| (305) 348-3627 | |
| (305) 348-4261 |
| Full Name | Florida International University Board Of Trustees |
|---|---|
| Speciality | Family Medicine |
| Location | 800 Sw 108th Ave Ste 100, Miami, Florida |
| Authorized Official Name and Position | Kenneth A. Jessell (FIU CHIEF FINANCIAL OFFICER AND SEN) |
| Authorized Official Contact | 3053482101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida International University Board Of Trustees 11200 Sw 8th Street Ahc 2 693 Miami FL 33199 Ph: (305) 348-3627 | Florida International University Board Of Trustees 800 Sw 108th Ave Ste 100 Miami FL 33174-2555 Ph: (305) 348-3627 |
| NPI Number | 1598070849 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 08/04/2022 |
| Medicare PECOS PAC ID | 3072777150 |
|---|---|
| Medicare Enrollment ID | O20120621000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598070849 | NPI | - | NPPES |
| Provider Name | Gloria M Coronel Couto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447213335 PECOS PAC ID: 1951291129 Enrollment ID: I20040319000508 |
| Provider Name | Carla C Rabassa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659313385 PECOS PAC ID: 6901881895 Enrollment ID: I20040623001335 |
| Provider Name | Amalia M Landa Galindez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194712042 PECOS PAC ID: 5193744464 Enrollment ID: I20051117000011 |
| Provider Name | Rebeca Martinez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013946458 PECOS PAC ID: 6305867045 Enrollment ID: I20051209000427 |
| Provider Name | Patricia Junquera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750583969 PECOS PAC ID: 2961568225 Enrollment ID: I20090311000666 |
| Provider Name | Aron Berkman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1447347851 PECOS PAC ID: 4789622762 Enrollment ID: I20090720000565 |
| Provider Name | David Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073578373 PECOS PAC ID: 4587793476 Enrollment ID: I20100602000949 |
| Provider Name | Dollie F Green |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295763175 PECOS PAC ID: 8426232737 Enrollment ID: I20110412000286 |
| Provider Name | Guillermo Izquierdo Pretel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043410699 PECOS PAC ID: 5698830131 Enrollment ID: I20110601000891 |
| Provider Name | Luis Marcelo Carcache |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881866796 PECOS PAC ID: 1557502655 Enrollment ID: I20130801000696 |
| Provider Name | Muhammad A Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942466859 PECOS PAC ID: 9133261555 Enrollment ID: I20140131001700 |
| Provider Name | Leonard Gralnik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811078454 PECOS PAC ID: 1658599980 Enrollment ID: I20140828002236 |
| Provider Name | Carlos Salgado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346473444 PECOS PAC ID: 8426240656 Enrollment ID: I20150909002871 |
| Provider Name | Julia Cornelia Bisschops |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235499542 PECOS PAC ID: 6305090143 Enrollment ID: I20151214002415 |
| Provider Name | Mercedes Florez-white |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194122770 PECOS PAC ID: 4385937150 Enrollment ID: I20160801002551 |
| Provider Name | Juana-maria Maria Montero-bernaldez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184043598 PECOS PAC ID: 1557659760 Enrollment ID: I20161004000406 |
| Provider Name | Sarah Eisenstein Stumbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871850339 PECOS PAC ID: 5092098475 Enrollment ID: I20170208002939 |
| Provider Name | Roberto E Gimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508239872 PECOS PAC ID: 9830485291 Enrollment ID: I20170510002168 |
| Provider Name | Annabella Ferrari |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1356662126 PECOS PAC ID: 2961620521 Enrollment ID: I20190125000161 |
| Provider Name | Andres R Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285021816 PECOS PAC ID: 8820357981 Enrollment ID: I20190201000232 |
| Provider Name | Shweta Akhouri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982099669 PECOS PAC ID: 6103134895 Enrollment ID: I20210903002828 |
| Provider Name | Lizzeth Nataly Alarcon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639532575 PECOS PAC ID: 2567740467 Enrollment ID: I20230302000410 |
| Provider Name | Doris Cubas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417511338 PECOS PAC ID: 9335520436 Enrollment ID: I20231025000719 |
| Provider Name | Ngozi Felicia Anachebe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558361774 PECOS PAC ID: 1254515901 Enrollment ID: I20241216003486 |
| Provider Name | Lina Augius |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205026705 PECOS PAC ID: 9133413784 Enrollment ID: I20241219003653 |
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