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Maibetty Rodriguez Guerra

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

15431 SW 101st Ave, Miami, FL 33157-1622

PECOS Enrollment

Based on the most recent information from CMS, provider Maibetty Rodriguez Guerra is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1124731898
Provider Type
Individual
Full Name
Rodriguez Guerra, Maibetty
Gender
Female

Sole Proprietor
Yes
Enumeration Date
12/27/2022
Last Updated
12/27/2022

Contact Information

Practice Location

15431 SW 101st Ave, Miami, FL 33157-1622

(813) 570-4164

Unlisted Fax

Mailing Location

15431 SW 101st Ave, Miami, FL 33157-1622

(813) 570-4164

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11023693 Florida

Maibetty Rodriguez Guerra

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Caballero, Michelle

Russo, Ana

Rosario Dominguez, Tania Liz

Gendriz, Sarai

Nunez, Yanet

Segura Camero, Lizney

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Quevedo Yanez, Orlando

Rivera, Natacha