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Lizney Segura Camero

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

16121 SW 109th Ave, Miami, FL 33157-2809

PECOS Enrollment

Based on the most recent information from CMS, provider Lizney Segura Camero 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
1841825718
Provider Type
Individual
Full Name
Segura Camero, Lizney
Gender
Female

Sole Proprietor
Yes
Enumeration Date
3/11/2020
Last Updated
3/11/2020

Contact Information

Practice Location

16121 SW 109th Ave, Miami, FL 33157-2809

(786) 234-3422

Unlisted Fax

Mailing Location

16121 SW 109th Ave, Miami, FL 33157-2809

(786) 234-3422

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11006480 Florida

Lizney Segura Camero

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Pedrosa, Janet

Velazquez, Danielle Wheeler

Reyes Reyes, Yaquelin

Janice D Bacchus, Llc

Bada, Mayrelis

Salvat Rodriguez, Lissette

Noa, Georgette

Rivera, Martha Isabel

Garcia, Adriana

Obando, Stephanie