| Physician Practices Of Msmc, Llc | |
|
4302 Alton Rd Suite 830 Miami Beach FL 33140-2891 | |
| (305) 674-2404 | |
| (305) 674-2544 |
| Full Name | Physician Practices Of Msmc, Llc |
|---|---|
| Speciality | Neurological Surgery |
| Location | 4302 Alton Rd, Miami Beach, Florida |
| Authorized Official Name and Position | Wayne Chutkan (VP OF FINACE) |
| Authorized Official Contact | 3056742662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Practices Of Msmc, Llc P.o. Box 403429 Miami Beach FL 33140-1429 Ph: (305) 674-2841 | Physician Practices Of Msmc, Llc 4302 Alton Rd Suite 830 Miami Beach FL 33140-2891 Ph: (305) 674-2404 |
| NPI Number | 1356630628 |
|---|---|
| Provider Enumeration Date | 04/07/2011 |
| Last Update Date | 03/31/2021 |
| Medicare PECOS PAC ID | 9436336120 |
|---|---|
| Medicare Enrollment ID | O20110606000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356630628 | NPI | - | NPPES |
| Provider Name | Samira M Habibnejad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689621377 PECOS PAC ID: 3173429073 Enrollment ID: I20031211000015 |
| Provider Name | Nidia M Iglesias |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841210812 PECOS PAC ID: 5597662536 Enrollment ID: I20031217000522 |
| Provider Name | Craig A Silver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295762458 PECOS PAC ID: 5991698649 Enrollment ID: I20040205000806 |
| Provider Name | Angelo Lapietra |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992793939 PECOS PAC ID: 5890786065 Enrollment ID: I20040518001467 |
| Provider Name | Seth Gottlieb |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003810763 PECOS PAC ID: 2769469113 Enrollment ID: I20040702000479 |
| Provider Name | Manuel Viamonte |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1033172978 PECOS PAC ID: 1153309919 Enrollment ID: I20040713000067 |
| Provider Name | Joseph F Pizzolato |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447248109 PECOS PAC ID: 7719954015 Enrollment ID: I20040915001003 |
| Provider Name | Jose A Cruz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093705790 PECOS PAC ID: 3678542024 Enrollment ID: I20041006001393 |
| Provider Name | Regina Fernandez Llanio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821130196 PECOS PAC ID: 1153388400 Enrollment ID: I20041217000616 |
| Provider Name | Hernando Garcia |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922000314 PECOS PAC ID: 5092741652 Enrollment ID: I20050714000591 |
| Provider Name | Arnold S Blaustein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497743124 PECOS PAC ID: 7719906494 Enrollment ID: I20051114000030 |
| Provider Name | Charles M Rosen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033165378 PECOS PAC ID: 7012939739 Enrollment ID: I20051222000142 |
| Provider Name | Robert I Goldberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134169196 PECOS PAC ID: 8729000450 Enrollment ID: I20051222000224 |
| Provider Name | Juan C Paramo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790715365 PECOS PAC ID: 8426070160 Enrollment ID: I20051222000269 |
| Provider Name | Ranjan Duara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134159700 PECOS PAC ID: 7214959956 Enrollment ID: I20051222000300 |
| Provider Name | Thomas Mesko |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1578593141 PECOS PAC ID: 3870515521 Enrollment ID: I20051222000379 |
| Provider Name | Allen H Silanee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164417317 PECOS PAC ID: 7214979574 Enrollment ID: I20070103000170 |
| Provider Name | Jeff T. Moise |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588766521 PECOS PAC ID: 1355342627 Enrollment ID: I20070130000096 |
| Provider Name | Kfir Ben-david |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144234881 PECOS PAC ID: 0446255350 Enrollment ID: I20071018000764 |
| Provider Name | Ari J Ciment |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932261542 PECOS PAC ID: 2769579135 Enrollment ID: I20071101000163 |
| Provider Name | Jay E Reinberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073559480 PECOS PAC ID: 1951200567 Enrollment ID: I20080814000508 |
| Provider Name | Estelamari Rodriguez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194887034 PECOS PAC ID: 9133296569 Enrollment ID: I20080925000727 |
| Provider Name | Robert C Goldszer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922065341 PECOS PAC ID: 6305904434 Enrollment ID: I20081018000150 |
| Provider Name | Juan Carrere |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669474318 PECOS PAC ID: 4587722111 Enrollment ID: I20081024000670 |
| Provider Name | Esther Amador-del Valle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043475684 PECOS PAC ID: 1850451303 Enrollment ID: I20081113000727 |
| Provider Name | Roy Williams |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1679561609 PECOS PAC ID: 1850458639 Enrollment ID: I20090323000285 |
| Provider Name | Joseph Lamelas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184613713 PECOS PAC ID: 6901897172 Enrollment ID: I20090323000312 |
| Provider Name | Stephen Wise Unger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811906886 PECOS PAC ID: 5991854770 Enrollment ID: I20090527000571 |
| Provider Name | Steven N Hochwald |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1912943010 PECOS PAC ID: 7618012022 Enrollment ID: I20100309000511 |
| Provider Name | Cornel Lupu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235168139 PECOS PAC ID: 3577690940 Enrollment ID: I20100416000671 |
| Provider Name | Lawrence M Ciment |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295841039 PECOS PAC ID: 9133159023 Enrollment ID: I20100503000273 |
| Provider Name | Robert N Galbut |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730295486 PECOS PAC ID: 5395873939 Enrollment ID: I20100503000314 |
| Provider Name | Mike Cusnir |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962490631 PECOS PAC ID: 2769511120 Enrollment ID: I20100522000057 |
| Provider Name | Henry Wodnicki |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1124010020 PECOS PAC ID: 4789617549 Enrollment ID: I20100610000669 |
| Provider Name | Jennifer Davies |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568695468 PECOS PAC ID: 3577697291 Enrollment ID: I20100817001197 |
| Provider Name | Elisa Krill-jackson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427046085 PECOS PAC ID: 6406971761 Enrollment ID: I20100910000382 |
| Provider Name | Georgi Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558399659 PECOS PAC ID: 1456476530 Enrollment ID: I20100913000773 |
| Provider Name | Jose Lutzky |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235127929 PECOS PAC ID: 7517150105 Enrollment ID: I20101014001053 |
| Provider Name | Michael A Schwartz |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1972591683 PECOS PAC ID: 0143413286 Enrollment ID: I20101020001511 |
| Provider Name | Paul B Chaplin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487747168 PECOS PAC ID: 5890981245 Enrollment ID: I20101124000105 |
| Provider Name | Elizabeth Kury Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316187917 PECOS PAC ID: 7315120102 Enrollment ID: I20110401000238 |
| Provider Name | Andre Tamayo Chelala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932145737 PECOS PAC ID: 3476730383 Enrollment ID: I20110622000005 |
| Provider Name | Dock Anderson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356574651 PECOS PAC ID: 1052589108 Enrollment ID: I20110718000075 |
| Provider Name | Vivian Birnbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275820383 PECOS PAC ID: 1658543236 Enrollment ID: I20111003000589 |
| Provider Name | Rossana Maria Calderon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437489697 PECOS PAC ID: 7214192293 Enrollment ID: I20120625000305 |
| Provider Name | Manuel Sivina |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619071818 PECOS PAC ID: 7012998792 Enrollment ID: I20120713000165 |
| Provider Name | Roberto Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144542317 PECOS PAC ID: 5193981108 Enrollment ID: I20120719000116 |
| Provider Name | Grace J Imson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154552180 PECOS PAC ID: 3274780531 Enrollment ID: I20120822000320 |
| Provider Name | Berta Pita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023365137 PECOS PAC ID: 2769639855 Enrollment ID: I20120824000201 |
| Provider Name | Jose Lampreabe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750512943 PECOS PAC ID: 5597913087 Enrollment ID: I20120906000643 |
| Provider Name | Yuliya Korinenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184866311 PECOS PAC ID: 6608025556 Enrollment ID: I20121009000496 |
| Provider Name | Maurice R Mawad |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508101809 PECOS PAC ID: 4587578349 Enrollment ID: I20130124000315 |
| Provider Name | Manuel Berzosa-corella |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336317171 PECOS PAC ID: 1658423074 Enrollment ID: I20130805000834 |
| Provider Name | Diana M Gonzalez Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992041818 PECOS PAC ID: 9537301429 Enrollment ID: I20130805000898 |
| Provider Name | Joshua M Unger |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1891914016 PECOS PAC ID: 6002058856 Enrollment ID: I20130808000009 |
| Provider Name | Jonas Skornicki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528322492 PECOS PAC ID: 0840432324 Enrollment ID: I20130813000327 |
| Provider Name | Sylvia Diaz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083880009 PECOS PAC ID: 9537303813 Enrollment ID: I20130926000862 |
| Provider Name | Aseret D Medina Vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396184289 PECOS PAC ID: 2163656117 Enrollment ID: I20131008000072 |
| Provider Name | Bennett W Yu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609922343 PECOS PAC ID: 8628060274 Enrollment ID: I20131024000259 |
| Provider Name | Yakov Gizersky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861688244 PECOS PAC ID: 4688706203 Enrollment ID: I20131118000246 |
| Provider Name | Adrian Roznowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003081472 PECOS PAC ID: 2961639109 Enrollment ID: I20140703001715 |
| Provider Name | Crystal Rego |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598184996 PECOS PAC ID: 5991923518 Enrollment ID: I20140823000056 |
| Provider Name | Brian M Slomovitz |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1306885512 PECOS PAC ID: 6901884204 Enrollment ID: I20140924002547 |
| Provider Name | Larissa Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851715627 PECOS PAC ID: 3274754239 Enrollment ID: I20141016002261 |
| Provider Name | Doris J Danko |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1073791067 PECOS PAC ID: 1254598170 Enrollment ID: I20150112001246 |
| Provider Name | Maximiliano M Mayrink |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851669816 PECOS PAC ID: 4486889870 Enrollment ID: I20150423001000 |
| Provider Name | Yusef Canaan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881963452 PECOS PAC ID: 9739493248 Enrollment ID: I20150728005363 |
| Provider Name | Andrew Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154713626 PECOS PAC ID: 0446565857 Enrollment ID: I20150813011961 |
| Provider Name | Jonathan Mazurek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902057326 PECOS PAC ID: 1153637715 Enrollment ID: I20150827003173 |
| Provider Name | Richa K Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457776577 PECOS PAC ID: 9931415023 Enrollment ID: I20150903002693 |
| Provider Name | Nicole Henry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184823825 PECOS PAC ID: 0244405975 Enrollment ID: I20150909001645 |
| Provider Name | Karla M Arce |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922319110 PECOS PAC ID: 4082921911 Enrollment ID: I20150909003048 |
| Provider Name | Kiranmayi Muddasani |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1205024254 PECOS PAC ID: 3072821818 Enrollment ID: I20150929001021 |
| Provider Name | Karen R Askari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528378155 PECOS PAC ID: 4789993304 Enrollment ID: I20151022000885 |
| Provider Name | Joseph R Paprota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619183829 PECOS PAC ID: 9830240779 Enrollment ID: I20151221002491 |
| Provider Name | Elisa O George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992067466 PECOS PAC ID: 8426359977 Enrollment ID: I20151229000913 |
| Provider Name | Jadiyer Acosta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457766065 PECOS PAC ID: 9133428212 Enrollment ID: I20160422001927 |
| Provider Name | Clifford E Medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477634129 PECOS PAC ID: 5799814893 Enrollment ID: I20160615001380 |
| Provider Name | Steven Robert Debeer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619217049 PECOS PAC ID: 2961706932 Enrollment ID: I20160927002624 |
| Provider Name | Yanko Enamorado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578905501 PECOS PAC ID: 4284937814 Enrollment ID: I20161011003036 |
| Provider Name | Natassja Gangeri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336540699 PECOS PAC ID: 5496058190 Enrollment ID: I20161024002450 |
| Provider Name | Irman Forghani |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1427348549 PECOS PAC ID: 5991083792 Enrollment ID: I20161029000414 |
| Provider Name | Lucien Alexandre |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1104111012 PECOS PAC ID: 7315226396 Enrollment ID: I20161115001057 |
| Provider Name | Henry Rex Greene |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1659312627 PECOS PAC ID: 6103840715 Enrollment ID: I20161118000857 |
| Provider Name | Steve Xydas |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083779888 PECOS PAC ID: 3072679364 Enrollment ID: I20161130000901 |
| Provider Name | Elyana L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114472529 PECOS PAC ID: 9234410143 Enrollment ID: I20170109002393 |
| Provider Name | Janella Morales Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316345887 PECOS PAC ID: 1557652666 Enrollment ID: I20170303001416 |
| Provider Name | Jonah D Bardos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164765012 PECOS PAC ID: 8628355799 Enrollment ID: I20170428000476 |
| Provider Name | Rogelio Suarez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932514965 PECOS PAC ID: 4082991864 Enrollment ID: I20170503002525 |
| Provider Name | Ingrid Escobar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104377787 PECOS PAC ID: 5193092864 Enrollment ID: I20170531000481 |
| Provider Name | Oleg Gligich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215224126 PECOS PAC ID: 0042587735 Enrollment ID: I20170531001217 |
| Provider Name | Raul A Cortes Ladino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558510511 PECOS PAC ID: 5294890034 Enrollment ID: I20170601000132 |
| Provider Name | Xanamaria Miguelez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578756243 PECOS PAC ID: 9830286962 Enrollment ID: I20170619000459 |
| Provider Name | Andrea Carolina Rodriguez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518200401 PECOS PAC ID: 0840586590 Enrollment ID: I20170719001766 |
| Provider Name | Sabrina M Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114158680 PECOS PAC ID: 2769612944 Enrollment ID: I20171120001707 |
| Provider Name | Devendra Joshi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639505464 PECOS PAC ID: 5294027041 Enrollment ID: I20171214003141 |
| Provider Name | Gabriela Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871794958 PECOS PAC ID: 6709145329 Enrollment ID: I20180104002150 |
| Provider Name | Fernando M Safdie |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1881956944 PECOS PAC ID: 2365660917 Enrollment ID: I20180104002231 |
| Provider Name | Magda Mckearin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275896581 PECOS PAC ID: 6002176658 Enrollment ID: I20180131000412 |
| Provider Name | Federika Garcia Muchacho |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194231787 PECOS PAC ID: 9739440579 Enrollment ID: I20180219001876 |
| Provider Name | Barbara Mcmanus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124310701 PECOS PAC ID: 4688845902 Enrollment ID: I20180222002443 |
| Provider Name | Regina Melchor-beaupre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467669648 PECOS PAC ID: 5395008247 Enrollment ID: I20180406001208 |
| Provider Name | Marisol L Ocampo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457859720 PECOS PAC ID: 8325303001 Enrollment ID: I20180530001098 |
| Provider Name | Tanya Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376960435 PECOS PAC ID: 7012269764 Enrollment ID: I20181009001126 |
| Provider Name | Norbert Garcia-henriquez |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1992004576 PECOS PAC ID: 3678817681 Enrollment ID: I20181203000830 |
| Provider Name | Micheal T Ayad |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538424007 PECOS PAC ID: 6406074194 Enrollment ID: I20181203003124 |
| Provider Name | Lisandra Calzadilla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285054536 PECOS PAC ID: 1850635632 Enrollment ID: I20181205001481 |
| Provider Name | Sumana Narayanan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1053622480 PECOS PAC ID: 8527303130 Enrollment ID: I20181228001425 |
| Provider Name | Diana Arrieta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174024194 PECOS PAC ID: 2466799721 Enrollment ID: I20190124000303 |
| Provider Name | Melissa Fujan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013327808 PECOS PAC ID: 3678811189 Enrollment ID: I20190207002567 |
| Provider Name | Melissa Priscilla Dewing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568955771 PECOS PAC ID: 7719226448 Enrollment ID: I20190225001730 |
| Provider Name | Manuel Gonzalez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801193701 PECOS PAC ID: 2264609346 Enrollment ID: I20190618002550 |
| Provider Name | Erik Brian Sowell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558758730 PECOS PAC ID: 4688971138 Enrollment ID: I20190806002008 |
| Provider Name | Aidan Schmidt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801200985 PECOS PAC ID: 6709113228 Enrollment ID: I20190807000271 |
| Provider Name | Cher Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740843937 PECOS PAC ID: 5799013645 Enrollment ID: I20190829004288 |
| Provider Name | Veronica Marie Alvarez-galiana |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952796328 PECOS PAC ID: 2961706247 Enrollment ID: I20190918000858 |
| Provider Name | Dolores Prudent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760844997 PECOS PAC ID: 5294065090 Enrollment ID: I20190920001717 |
| Provider Name | Monica Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518523984 PECOS PAC ID: 1355673195 Enrollment ID: I20191029002117 |
| Provider Name | Eva E Trelles Feria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346892106 PECOS PAC ID: 1658705637 Enrollment ID: I20191227001713 |
| Provider Name | Cesar Jorge Tula |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1487630885 PECOS PAC ID: 1658325634 Enrollment ID: I20200129002282 |
| Provider Name | Oksana Karpov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821294414 PECOS PAC ID: 6002008042 Enrollment ID: I20200130002076 |
| Provider Name | Stevie Camp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275181323 PECOS PAC ID: 1052747557 Enrollment ID: I20200131001094 |
| Provider Name | Katsiaryna Halavach Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114560612 PECOS PAC ID: 4385070804 Enrollment ID: I20200131001886 |
| Provider Name | Marietta Basnueva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932740438 PECOS PAC ID: 9638507650 Enrollment ID: I20200325000224 |
| Provider Name | Lilly Gonzalez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558604058 PECOS PAC ID: 9133462658 Enrollment ID: I20200428000728 |
| Provider Name | Rodrigo Arrangoiz |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1003098799 PECOS PAC ID: 8527197508 Enrollment ID: I20200507002366 |
| Provider Name | Olivia Mechanic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285046748 PECOS PAC ID: 1557679537 Enrollment ID: I20200521000055 |
| Provider Name | Hector L Varas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437681350 PECOS PAC ID: 2860736196 Enrollment ID: I20200604002383 |
| Provider Name | Yasser Gonzalez Dominguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316471725 PECOS PAC ID: 7618398108 Enrollment ID: I20200610000174 |
| Provider Name | Nayma Casamayor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215461306 PECOS PAC ID: 2668717778 Enrollment ID: I20200622000101 |
| Provider Name | Gerard Chaaya |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508270778 PECOS PAC ID: 1456773498 Enrollment ID: I20200622001879 |
| Provider Name | Roberto Marticorena Martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952764466 PECOS PAC ID: 4688928930 Enrollment ID: I20200708001597 |
| Provider Name | Laura Nunez Herrero |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205255783 PECOS PAC ID: 0547535692 Enrollment ID: I20200728002593 |
| Provider Name | Frank Czul Gurdian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518199702 PECOS PAC ID: 3971896721 Enrollment ID: I20200729002513 |
| Provider Name | Gisell Mansur |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053833137 PECOS PAC ID: 8527483163 Enrollment ID: I20200730000791 |
| Provider Name | Stephanie Shim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427476563 PECOS PAC ID: 0042547432 Enrollment ID: I20200813002261 |
| Provider Name | Ettore Vulcano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689070906 PECOS PAC ID: 6204135684 Enrollment ID: I20200817001768 |
| Provider Name | Edward Andraos |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1417396193 PECOS PAC ID: 7315363637 Enrollment ID: I20200818001309 |
| Provider Name | Danica Vance |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558781625 PECOS PAC ID: 0648697425 Enrollment ID: I20200825001100 |
| Provider Name | Jennifer Pomares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699325852 PECOS PAC ID: 2163833252 Enrollment ID: I20201120001403 |
| Provider Name | Melissa Walsh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144532912 PECOS PAC ID: 8628294741 Enrollment ID: I20201215002445 |
| Provider Name | Alessandra Ferreira Kostolias |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760774004 PECOS PAC ID: 6507113842 Enrollment ID: I20210203001395 |
| Provider Name | Christina K Sawyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710372578 PECOS PAC ID: 9638465545 Enrollment ID: I20210208002342 |
| Provider Name | Shilpa Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588953368 PECOS PAC ID: 5890912810 Enrollment ID: I20210423000608 |
| Provider Name | Karim G Sabeh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134461965 PECOS PAC ID: 4880941921 Enrollment ID: I20210518002048 |
| Provider Name | Tahimy Carbonell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346859550 PECOS PAC ID: 2466851514 Enrollment ID: I20210524000744 |
| Provider Name | Larry E Goldenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700175585 PECOS PAC ID: 4385959204 Enrollment ID: I20210527001299 |
| Provider Name | Ragisha Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538502620 PECOS PAC ID: 5991098329 Enrollment ID: I20210610002294 |
| Provider Name | Marc Rafols |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366893976 PECOS PAC ID: 1254732746 Enrollment ID: I20210622000181 |
| Provider Name | Jason A Kovacevic |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275952061 PECOS PAC ID: 0840416921 Enrollment ID: I20210702001816 |
| Provider Name | Aron Simkins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093197931 PECOS PAC ID: 5991107534 Enrollment ID: I20210706001486 |
| Provider Name | Hernando Gonzalez Quiros |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346553294 PECOS PAC ID: 0042344616 Enrollment ID: I20210820000189 |
| Provider Name | Dunia Fernandez Montero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326449414 PECOS PAC ID: 9234535998 Enrollment ID: I20210902003346 |
| Provider Name | Jennifer Jimenez Madrigal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639651383 PECOS PAC ID: 3678979879 Enrollment ID: I20210914002404 |
| Provider Name | Milena Munoz Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003313214 PECOS PAC ID: 5698010676 Enrollment ID: I20210922002959 |
| Provider Name | Yedy A Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750951778 PECOS PAC ID: 8628467842 Enrollment ID: I20211109003406 |
| Provider Name | Jennifer Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720759475 PECOS PAC ID: 7618366584 Enrollment ID: I20211115001771 |
| Provider Name | Rebecca Behnejad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821685454 PECOS PAC ID: 6103217674 Enrollment ID: I20211217001466 |
| Provider Name | Melissa Laura Verzura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932690278 PECOS PAC ID: 1456742717 Enrollment ID: I20211221000146 |
| Provider Name | Adriana Oliva |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437817756 PECOS PAC ID: 1052703469 Enrollment ID: I20220115000035 |
| Provider Name | Maria C Basanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972109155 PECOS PAC ID: 8921490178 Enrollment ID: I20220119003126 |
| Provider Name | Roberto J Leoni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629573795 PECOS PAC ID: 9234488743 Enrollment ID: I20220121002480 |
| Provider Name | Jacqueline C Barrientos |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1396801031 PECOS PAC ID: 6406871318 Enrollment ID: I20220324002866 |
| Provider Name | Leily Santos Carrion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164098257 PECOS PAC ID: 6709273824 Enrollment ID: I20220420000623 |
| Provider Name | Maribel Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760973051 PECOS PAC ID: 0941689384 Enrollment ID: I20220615001966 |
| Provider Name | Jonathan Richard Zadeh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578913174 PECOS PAC ID: 9133522576 Enrollment ID: I20220811002782 |
| Provider Name | Charles Trujillo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528487451 PECOS PAC ID: 5698177921 Enrollment ID: I20220922000216 |
| Provider Name | Kirollos M Gendi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528591815 PECOS PAC ID: 9436428299 Enrollment ID: I20220922001979 |
| Provider Name | Lissette Sardinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457012478 PECOS PAC ID: 0840666228 Enrollment ID: I20221026003222 |
| Provider Name | Lauren Frias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396316220 PECOS PAC ID: 3577939958 Enrollment ID: I20221026003245 |
| Provider Name | Kimberly Martins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275262230 PECOS PAC ID: 7719359652 Enrollment ID: I20230202001484 |
| Provider Name | Ama Asante Badu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902337819 PECOS PAC ID: 2668710245 Enrollment ID: I20230404001251 |
| Provider Name | Marilda Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891426516 PECOS PAC ID: 2769848316 Enrollment ID: I20230524000705 |
| Provider Name | Hernando Jose Cordero Fernandez De Cordova |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770969859 PECOS PAC ID: 8022352137 Enrollment ID: I20230614004038 |
| Provider Name | Carla Rosenzvit |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669992046 PECOS PAC ID: 6507224557 Enrollment ID: I20230622003215 |
| Provider Name | Kathryn L Fideler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568997534 PECOS PAC ID: 6901175017 Enrollment ID: I20230703001327 |
| Provider Name | Michelle Mcclosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841908969 PECOS PAC ID: 3476914607 Enrollment ID: I20230803001865 |
| Provider Name | Annalie Hernandez De La Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447870738 PECOS PAC ID: 2668894122 Enrollment ID: I20230915002235 |
| Provider Name | Luis Rosario Alvarado |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053845768 PECOS PAC ID: 1052683786 Enrollment ID: I20230925000915 |
| Provider Name | Lorena K Rosero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972161800 PECOS PAC ID: 0042664047 Enrollment ID: I20230925003171 |
| Provider Name | Taimi Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992333223 PECOS PAC ID: 6406200385 Enrollment ID: I20230926003137 |
| Provider Name | Pooja Sharma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427510056 PECOS PAC ID: 0648509547 Enrollment ID: I20230927002371 |
| Provider Name | Ortal Babaev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467074153 PECOS PAC ID: 6406200013 Enrollment ID: I20231002001027 |
| Provider Name | Jessica Mena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396433157 PECOS PAC ID: 0446605703 Enrollment ID: I20231006002283 |
| Provider Name | Lorena Randazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043927155 PECOS PAC ID: 9234586298 Enrollment ID: I20231113002211 |
| Provider Name | Paola Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639856503 PECOS PAC ID: 4385093277 Enrollment ID: I20231218003751 |
| Provider Name | Lindsey Finch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518429547 PECOS PAC ID: 3072963081 Enrollment ID: I20240103000076 |
| Provider Name | Alejandra Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285216622 PECOS PAC ID: 1052754314 Enrollment ID: I20240206000028 |
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