Look up the most recent NPI and PECOS records

Katherine Bravo

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

16510 SW 107th Ave, Miami, FL 33157-2913

PECOS Enrollment

Based on the most recent information from CMS, provider Katherine Bravo 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
1437785292
Provider Type
Individual
Full Name
Bravo, Katherine
Title
Mrs.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/12/2020
Last Updated
3/12/2020

Contact Information

Practice Location

16510 SW 107th Ave, Miami, FL 33157-2913

(786) 468-4137

Unlisted Fax

Mailing Location

16510 SW 107th Ave, Miami, FL 33157-2913

(786) 468-4137

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11006574 Florida

Katherine Bravo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Martinez, Maria V

Martinez, Ashley

Caballero, Michelle

Rosario Dominguez, Tania Liz

Gomez Torres, Gema

Guanipa, Carmen M

Bada, Mayrelis

Reyes Reyes, Yaquelin

Suarez, Orlando

Quintana, Rochelle Marie