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Lissette Salvat Rodriguez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

16400 SW 91st Ave, Palmetto Bay, FL 33157-3517

PECOS Enrollment

Based on the most recent information from CMS, provider Lissette Salvat Rodriguez 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
1255113940
Provider Type
Individual
Full Name
Salvat Rodriguez, Lissette
Gender
Female

Sole Proprietor
No
Enumeration Date
10/17/2023
Last Updated
10/17/2023

Contact Information

Practice Location

16400 SW 91st Ave, Palmetto Bay, FL 33157-3517

(305) 753-8783

Unlisted Fax

Mailing Location

16400 SW 91st Ave, Palmetto Bay, FL 33157-3517

(305) 753-8783

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11029232 Florida

Lissette Salvat Rodriguez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Tamayo, Maria R

Medina Suarez, Manuel

Urbina, Rebeca

Saleh, Fatma

Veiga Del Riego, Elsa Beatriz

Garcia Martinez, Ladisbel

Rivera, Natacha

Russo, Ana

Bravo, Katherine

Pardo, Elvira