Individual ProviderRoberto PugaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address11348 Quail Roost Dr, Miami, FL 33157(305) 253-1660PECOS EnrollmentBased on the most recent information from CMS, provider Roberto Puga is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1255736336Provider TypeIndividualFull NamePuga, RobertoCredentialARNPGenderMaleSole ProprietorYesEnumeration Date10/30/2014Last Updated6/20/2018Contact InformationPractice LocationPractice Address11348 Quail Roost Dr, Miami, FL 33157Phone(305) 253-1660FaxUnlisted FaxMailing LocationMailing Address11348 Quail Roost Dr, Miami, FL 33157-6567Phone(305) 253-1660FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9243659Florida