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Nariel Pena Pacheco

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

11009 SW 186th St, Cutler Bay, FL 33157-6810

PECOS Enrollment

Based on the most recent information from CMS, provider Nariel Pena Pacheco 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
1750762654
Provider Type
Individual
Full Name
Pena Pacheco, Nariel
Gender
Male

Sole Proprietor
Yes
Enumeration Date
6/16/2015
Last Updated
4/4/2022

Contact Information

Practice Location

11009 SW 186th St, Cutler Bay, FL 33157-6810

(786) 608-0710

Unlisted Fax

Mailing Location

10502 SW 144th Ct, Miami, FL 33186-2922

(786) 608-0710

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11002188 Florida
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License 022376300 Florida

Nariel Pena Pacheco

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Del Valle Calzadilla, Dalila

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Gonzalez, Connie Remolina

Velazquez, Danielle Wheeler

Garcia Martinez, Ladisbel

Corzo, Sheiry

Tabares, Veronica