Look up the most recent NPI and PECOS records

Aiza Alidina

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Aiza Alidina 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
1972966323
Provider Type
Individual
Full Name
Alidina, Aiza
Gender
Female

Sole Proprietor
No
Enumeration Date
4/2/2016
Last Updated
1/23/2020

Contact Information

Practice Location

1611 NW 12th Ave, Miami, FL 33136

(305) 585-1111

Unlisted Fax

Mailing Location

1250 S Miami Ave Apt 1404, Miami, FL 33130-4107

(407) 257-7955

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME140121 Florida
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Aiza Alidina

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Gardner, Laurence Bernard

Van Kirk, Kendra Michelle

Rodriguez, Hiram

Pavon Canseco, Aldo

Patel, Sayari

Zaw, Khin M

Guzman, Lilliam B

Gummalla, Raja Ramesh

Rubin, Phillip

Mendha, Taaha Amin