Ivan Gonzalo Carrasquilla (NPI# 1154373694, PAC ID# 7719159466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154373694 |
| PAC ID by PECOS | 7719159466 |
| Professional Enrollment ID | I20111003000067 |
| Full Name | Ivan Gonzalo Carrasquilla |
| Organization Legal Name | PRIMEHEALTH PHYSICIANS LLC |
| Address |
370 Minorca Ave Suite 2 Coral Gables FL 33134-4311 |
| Phone Number | 3054433001 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0042456907 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100296 | DOCTORS HOSPITAL |
| 100154 | SOUTH MIAMI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 370 Minorca Ave, Suite 2, Coral Gables, FL 33134-4311 | 3054433001 | PRIMEHEALTH PHYSICIANS LLC |
| Organization Legal Name | PRIMEHEALTH PHYSICIANS LLC |
| Physicians | 60 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos Rojas | Nurse Practitioner | Primehealth Physicians LLC | 9045 Sw 87th Court, Miami, FL 33176-2304 |
| Jennifer Beltran | Nurse Practitioner | Primehealth Physicians LLC | 9049 Sw 87th Court, Miami, FL 33176-2304 |
| Alxeandra C Dormoy | Physician Assistant | Primehealth Physicians LLC | 5995 Sw 71st St, Suite 403, South Miami, FL 33143-3531 |
| Alejandro O Roca | Internal Medicine | Primehealth Physicians LLC | 6701 Sunset Dr, Suite 212, South Miami, FL 33143-4529 |
| Rigoberto Franco | Internal Medicine | Primehealth Physicians LLC | 9710 E Indigo St, Suite 303, Palmetto Bay, FL 33157-5613 |
| Wentworth Jarrett | Family Medicine | Primehealth Physicians LLC | 12955 Sw 132nd St, Building 3b Suite 104, Miami, FL 33186-6224 |
| Frank J Aranda | Internal Medicine | Primehealth Physicians LLC | 9915 Nw 41st St, Suite 200, Doral, FL 33178-2445 |
| Julio Jorge | Internal Medicine | Primehealth Physicians LLC | 9650 Sw 107th Ave, Suite A104, Miami, FL 33176-2787 |
| Lester Frederick Shalloway | Internal Medicine | Primehealth Physicians LLC | 10095 N Kendall Dr, Suite 102, Mimai, FL 33176-1797 |
| Mark E Kutner | Internal Medicine | Primehealth Physicians LLC | 10095 N Kendall Dr, Suite 102, Mimai, FL 33176-1797 |
| Street Address |
370 MINORCA AVE SUITE 2 |
| City | CORAL GABLES |
| State | FL |
| Zip | 33134-4311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenny C Montes De Oca Pineda | Family Medicine | Primehealth Physicians LLC | 370 Minorca Ave, Suite 2, Coral Gables, FL 33134-4311 |
| Eric Gancedo | Nurse Practitioner | Primehealth Physicians LLC | 370 Minorca Ave, Suite 2, Coral Gables, FL 33134-4311 |
| Adam Michael Rosen | Internal Medicine | Primehealth Physicians LLC | 370 Minorca Ave, Suite 2, Coral Gables, FL 33134-4311 |
| Jennifer Suzzanne Mokross | Nurse Practitioner | Primehealth Physicians LLC | 370 Minorca Ave, Suite 2, Coral Gables, FL 33134-4311 |
| Jeffrey B Rosen | Family Medicine | Primehealth Physicians LLC | 370 Minorca Ave, Suite 2, Coral Gables, FL 33134-4311 |
| Ino Halegua | Internal Medicine | 370 Minorca Ave, Coral Gables, FL 33134-4329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alejandro H Rotter | General Practice | 4800 W Flager St, Suite 106, Miami, FL 33134 | |
| David Beira | Nurse Practitioner | 5190 Sw 8 St, Coral Gables, FL 33134 | |
| Felix Chion Fong | General Practice | 4726 W Flagler St, Miami, FL 33134-1452 | |
| Orlando Rossel | General Practice | 4505 W Flagler St, Coral Gables, FL 33134-1500 | |
| Rheinchard R Reyes | Family Medicine | 4659 W Flagler St, Miami, FL 33134-1512 | |
| Alberto Alvarez Ginzo | Cardiovascular Disease (cardiology) | Alvarez Ginzo M D P A | 7060 Sw 8th St, Miami, FL 33134-1585 |
| Ceferino A Milian | Internal Medicine | 4343 W Flagler St, Suite 500, Miami, FL 33134-1586 | |
| Ariel Cagigas | Nurse Practitioner | Banyan Community Health Center, Inc | 3733 W Flagler St, Coral Gables, FL 33134-1601 |
| Ruben Bembibre | Nurse Practitioner | Banyan Community Health Center, Inc | 3733 W Flagler St, Coral Gables, FL 33134-1601 |
| Melba Roa | General Practice | Banyan Community Health Center, Inc | 3733 W Flagler St, Coral Gables, FL 33134-1601 |
| Find all physicians in zip 33134 | |||
| City | CORAL GABLES |
| Zip Code | 33134 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CORAL GABLES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ivan Gonzalo Carrasquilla.
| 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.