ERIC GANCEDO (NPI# 1588037253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588037253 |
| Entity Type | Individual |
| Full Name | ERIC GANCEDO |
| Practice Address |
370 Minorca Ave Coral Gables FL 33134-4330 |
| Practice Telephone | 3054433001 |
| Practice Fax Number | 7862358575 |
| Mailing Telephone | 3054433001 |
| Mailing Fax Number | 7862358575 |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2016-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9383141 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
370 MINORCA AVE |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33134-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154373694 | Ivan Gonzalo Carrasquilla | Family Medicine | 370 Minorca Ave, 2nd Floor, Coral Gables, FL 33134-4330 | 2006-05-16 |
| 1295745479 | Ino B Halegua | Internal Medicine | 370 Minorca Ave, 101, Coral Gables, FL 33134-4330 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179794 | Aubree Udell | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2020-06-23 |
| 1346880481 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1906 Ponce De Leon Boulvard, Coral Gables, FL 33134 | 2020-01-07 |
| 1306494406 | Giselle Gutierrez | Dermatology | 401 Coral Way, Suite 207, 401 Coral Way Suite 207, Coral Gables, FL 33134 | 2019-09-01 |
| 1376190363 | Jessica Fishel | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2019-08-23 |
| 1962057380 | Ariel Betancourt | Behavior Technician | 3905 West Flagler St, Apt# 6, Miami, FL 33134 | 2019-08-02 |
| 1023662574 | April Gonzalez | Physical Therapy Assistant | 1500 Dougla Rd, Coral Gables, FL 33134 | 2019-08-01 |
| 1255999678 | Arturo Corces Md Pa | Orthopaedic Surgery | 747 Ponce Deleon Blvd, Ste 505, Coral Gables, FL 33134 | 2019-05-31 |
| 1386200673 | Life Bridge Community Center | Case Management | 5246 Sw 8th St Ste 205c, Miami, FL 33134 | 2019-05-13 |
| 1083187884 | Sun Health Care Inc | Clinic/Center | 3990 West Flagler Street, Suite 406, Miami, FL 33134 | 2019-01-04 |
| 1902389471 | Jamie Lynn Innis | Physician Assistant | 314 Romano Ave, Coral Gables, FL 33134 | 2018-09-11 |
| Find all providers in zip 33134 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962300 | Susel Liliana Gonzalez Acosta | Nurse Practitioner | 4510 Sw 5th St, Coral Gables, FL 33134-1918 | 2020-08-13 |
| 1386268902 | Alexis Lorente | Nurse Practitioner | 1003 Lisbon St, Coral Gables, FL 33134-2241 | 2020-05-29 |
| 1033745641 | Yamila Diaz Parra | Nurse Practitioner | 215 Sw 42nd Ave Apt 908, Coral Gables, FL 33134-1732 | 2020-03-15 |
| 1962034892 | Oscar Antonio Dobano Amador I | Nurse Practitioner | 5521 Sw 1st St, Coral Gables, FL 33134-1013 | 2020-02-08 |
| 1285273995 | Lisette Rojas | Nurse Practitioner | 3927 Sw 2nd St, Coral Gables, FL 33134-1720 | 2019-12-27 |
| 1508404708 | Dulien Contreras Rodriguez | Nurse Practitioner | 4331 Sw 6th St, Coral Gables, FL 33134-1907 | 2019-12-18 |
| 1699317123 | Sofia Maite Dominguez | Nurse Practitioner | 1055 Bella Vista Ave, Coral Gables, FL 33156-6451 | 2019-10-16 |
| 1689226219 | Liudmila Prieto Rivero | Nurse Practitioner | 4301 W Flagler St Apt B1, Coral Gables, FL 33134-1552 | 2019-07-13 |
| 1477011377 | Maria Fernanda Ospina | Nurse Practitioner | 1114 Capri St, Coral Gables, FL 33134-2406 | 2019-03-10 |
| 1598223679 | Barbara Mayssa Iriarte Brito | Nurse Practitioner | 1110 Mariposa Ave, Coral Gables, FL 33146-3237 | 2019-03-07 |
| Find all providers in CORAL GABLES | ||||
| City | CORAL GABLES |
| Zip Code | 33134 |
Please comment or provide details below to improve the information on ERIC GANCEDO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.