Look up the most recent NPI and PECOS records

Diana Maria Ronderos Botero

Internal Medicine

Allopathic & Osteopathic Physicians

3450 11th Ct Ste 306, Vero Beach, FL 32960-5012

PECOS Enrollment

This provider is enrolled in PECOS as DIANA RONDEROS BOTERO.

Based on the most recent information from CMS, provider Diana Maria Ronderos Botero 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1568966562
Provider Type
Individual
Full Name
Ronderos Botero, Diana Maria
Title
Mrs.
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/23/2018
Last Updated
6/26/2023

Contact Information

Practice Location

3450 11th Ct Ste 306, Vero Beach, FL 32960-5012

(772) 794-5800

Unlisted Fax

Mailing Location

5700 Bent Pine Sq, Vero Beach, FL 32967-7526

(201) 657-2731

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RP1001X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 161567 Florida

Diana Maria Ronderos Botero

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Michael P Tonner Md Pa

John S Suen Md Pa

Maholtz, Michele

Indian River Health Services Inc

Velasquez, Hermes Segundo

Michele Maholtz Md Pa

Johnson, Indley

Maldonado, Diego A