PATRICIO ROSA SIERRA (NPI# 1629055868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629055868 |
| Entity Type | Individual |
| Full Name | PATRICIO ROSA SIERRA |
| Credential | MD |
| Practice Address |
603 N Flamingo Rd Ste 255 Pembroke Pines FL 33028 |
| Mailing Address |
Po Box 990 Danville KY 40423-0990 |
| Practice Telephone | 9548444664 |
| Practice Fax Number | 9548444669 |
| Mailing Telephone | 8592395870 |
| Mailing Fax Number | 8592395879 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2018-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME111938 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 267826800 | 05 | |
| FL | BCBS | 57913 | 01 |
| Street Address |
603 N FLAMINGO RD STE 255 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821434267 | Inbar Saporta | Internal Medicine | 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028 | 2013-05-13 |
| 1427206507 | Minaba A Wariboko | Internal Medicine | 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028 | 2008-09-03 |
| 1386816874 | Alian Aguila | Internal Medicine | 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028-1013 | 2008-03-25 |
| 1306885314 | Michael Entenberg | Internal Medicine | 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028 | 2006-06-05 |
| 1730126095 | Selbourne C Goode | Internal Medicine | 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028 | 2006-06-02 |
| 1104863364 | Bassel B Ibrahim | Internal Medicine | 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 33028-1013 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982873485 | Surgical Partners LLC | Surgery | 17874 Nw 2nd St, Pembroke Pines, FL 33029-2806 | 2008-02-28 |
| 1891914016 | Joshua Mostkoff Unger | Surgery | 601 N Flamingo Rd Ste 202, Pembroke Pines, FL 33028-1008 | 2007-04-25 |
| 1558359364 | David Michael Feldbaum | Surgery | 2205 N University Dr, Pembroke Pines, FL 33024-3611 | 2005-10-06 |
| 1215924709 | Edmund Alan Geller | Surgery | 1 Sw 129th Ave, Suite 200, Pembroke Pines, FL 33027-1761 | 2005-09-30 |
| 1801134770 | Vein & Vascular Center of South Florida LLC | Surgery | 2205 N University Dr, Pembroke Pines, FL 33024-3611 | 2013-01-28 |
| 1770719445 | Aaron Michael Wagner | Surgery | 601 N Flamingo Rd Ste 202, Pembroke Pines, FL 33028-1008 | 2009-06-08 |
| 1215180443 | Pablo De Los Santos | Surgery | 601 N Flamingo Rd Ste 202, Pembroke Pines, FL 33028-1008 | 2008-10-31 |
| 1124213012 | Rodrigo B Fonseca | Surgery | 2205 N University Dr, Pembroke Pines, FL 33024-3611 | 2007-09-13 |
| 1851389480 | David M Feldbaum Md Pa | Surgery | 2205 N University Dr, Pembroke Pines, FL 33024-3611 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104394857 | George Scott Hall Sr. | Surgery | 9 Marsh Creek Rd, Fernandina Beach, FL 32034-6413 | 2018-11-09 |
| 1316413115 | Fox Vascular Experts, LLC | Surgery | 2699 Stirling Rd Ste A301302, Fort Lauderdale, FL 33312-6517 | 2018-10-18 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1598267593 | Joseph D Stillword, Md | Surgery | 800 Zeagler Dr Ste 320, Palatka, FL 32177-3827 | 2018-03-06 |
| 1386157006 | Beatriz Lam | Surgery | 2001 West 68 St, Cvicu, Hialeah, FL 33016 | 2017-11-16 |
| 1811421092 | Sunrise Vascular Center | Surgery | 8555 Nw 165th Ter, Miami Lakes, FL 33016-6138 | 2017-04-14 |
| 1962891838 | Global Trauma Systems, Inc | Surgery | 126 Se Mira Lavella, Port Saint Lucie, FL 34984-6615 | 2015-01-15 |
| 1184013450 | Vas-q-lar, Inc | Surgery | 6187 Nw 167th St, Suite H13, Hialeah, FL 33015-4340 | 2015-01-09 |
| 1396147138 | Usa Vein Clinics of Miami, LLC | Surgery | 1711 E Hallandale Beach Blvd Ste B, Hallandale Beach, FL 33009-4621 | 2014-09-24 |
| 1114336021 | Florida Vein Center, Inc | Surgery | 6050 53rd Ave E Unit A, Bradenton, FL 34203-9700 | 2014-08-05 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
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| 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.