Idelisa Torres Berastain (NPI# 1407842024, PAC ID# 0648242842) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1407842024 |
| PAC ID by PECOS | 0648242842 |
| Professional Enrollment ID | I20060127000337 |
| Full Name | Idelisa Torres Berastain |
| Organization Legal Name | RADIOLOGY AND IMAGING SPECIALISTS OF LAKELAND |
| Address |
1305 Lakeland Hills Blvd Lakeland FL 33805-4542 |
| Phone Number | 8636882334 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2264422294 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | 8636882334 | RADIOLOGY AND IMAGING SPECIALISTS OF LAKELAND |
| Organization Legal Name | RADIOLOGY AND IMAGING SPECIALISTS OF LAKELAND |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rekhaben Ramanbhai Suthar | Pain Management | Radiology and Imaging Specialists of Lakeland | 3221 S Florida Ave, Suite B, Lakeland, FL 33803-4550 |
| Michael Larone Campbell | Diagnostic Radiology | Radiology and Imaging Specialists of Lakeland | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 |
| Sara Safder | Diagnostic Radiology | Radiology and Imaging Specialists of Lakeland | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 |
| Marc L Kahn | Diagnostic Radiology | Radiology and Imaging Specialists of Lakeland | 1575 Apple Ln, Bloomfield Township, MI 48302-1301 |
| Michael Kurt Gordon | Diagnostic Radiology | Radiology and Imaging Specialists of Lakeland | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 |
| Lawrence Duane Lee | Physician Assistant | Radiology and Imaging Specialists of Lakeland | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 |
| Regina Ason | Diagnostic Radiology | Radiology and Imaging Specialists of Lakeland | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 |
| Michael B Esposito | Diagnostic Radiology | Radiology and Imaging Specialists of Lakeland | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 |
| Rodney Shawn Carter | Nurse Practitioner | Radiology and Imaging Specialists of Lakeland | 2120 Lakeland Hills Blvd, Lakeland, FL 33805-2906 |
| Jeffrey E Hall | Nurse Practitioner | Radiology and Imaging Specialists of Lakeland | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 |
| Street Address |
1305 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip | 33805-4542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Larone Campbell | Diagnostic Radiology | Radiology and Imaging Specialists of Lakeland | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 |
| Michael Kurt Gordon | Diagnostic Radiology | Radiology and Imaging Specialists of Lakeland | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 |
| Lawrence Duane Lee | Physician Assistant | Radiology and Imaging Specialists of Lakeland | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 |
| Michael B Esposito | Diagnostic Radiology | Radiology and Imaging Specialists of Lakeland | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 |
| Jeffrey E Hall | Nurse Practitioner | Radiology and Imaging Specialists of Lakeland | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 |
| Gary J Chappel | Diagnostic Radiology | Radiology and Imaging Specialists of Lakeland | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 |
| Paul Gibson | Diagnostic Radiology | Radiology and Imaging Specialists of Lakeland | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 |
| Lawrence R Sowka | Vascular Surgery | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 | |
| Tadeusz Ciszak | Diagnostic Radiology | Radiology and Imaging Specialists of Lakeland | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 |
| Julian P Kassner | Diagnostic Radiology | Radiology and Imaging Specialists of Lakeland | 1305 Lakeland Hills Blvd, Lakeland, FL 33805-4542 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tami L Hower | Nurse Practitioner | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Bishoy Kolta | Psychiatry | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Bruce W Meyers | Critical Care (intensivists) | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Rahim Salari | Pulmonary Disease | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Toan Nguyen | General Surgery | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Mariana Fernandez | Hospitalist | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Edward J Carroll | Physician Assistant | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Jennifer J Hughes | Physician Assistant | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Sakeena E Baccas | Physician Assistant | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Aung Naing | Critical Care (intensivists) | Lakeland Regional Health Systems Inc | 3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 |
| Find all physicians in zip 33805 | |||
| City | LAKELAND |
| Zip Code | 33805 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LAKELAND + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Idelisa Torres Berastain.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.