Gustavo Pena-velasco (NPI# 1851346639, PAC ID# 8527049212) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1851346639 |
| PAC ID by PECOS | 8527049212 |
| Professional Enrollment ID | I20060306000585 |
| Full Name | Gustavo Pena-velasco |
| Organization Legal Name | CENTRASOTA ORAL AND MAXILLOFACIAL SURGEONS PA |
| Address |
9381 Cedar St Monticello MN 55362-4522 |
| Phone Number | 7632954370 |
| Gender | M |
| Credential | DDS |
| Graduation Year | 1995 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Group Practice PAC ID | 7315969326 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9381 Cedar St, Monticello, MN 55362-4522 | 7632954370 | CENTRASOTA ORAL AND MAXILLOFACIAL SURGEONS PA |
| 3950 Veterans Dr, Suite 100, Saint Cloud, MN 56303-3424 | 3202523611 | CENTRASOTA ORAL AND MAXILLOFACIAL SURGEONS PA |
| Organization Legal Name | CENTRASOTA ORAL AND MAXILLOFACIAL SURGEONS PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Philip Welander | Dentist | Centrasota Oral and Maxillofacial Surgeons Pa | 3950 Veterans Dr, Suite 100, Saint Cloud, MN 56303-3424 |
| Michael Schiff | Dentist | Centrasota Oral and Maxillofacial Surgeons Pa | 3950 Veterans Dr, Suite 100, Saint Cloud, MN 56303-3424 |
| Ryan D Morris | Dentist | Centrasota Oral and Maxillofacial Surgeons Pa | 3950 Veterans Dr, Suite 100, Saint Cloud, MN 56303-3424 |
| Harold Machesky | Dentist | Centrasota Oral and Maxillofacial Surgeons Pa | 3950 Veterans Dr, Suite 100, Saint Cloud, MN 56303-3424 |
| Eric A Stine | Dentist | Centrasota Oral and Maxillofacial Surgeons Pa | 3950 Veterans Dr, Suite 100, Saint Cloud, MN 56303-3424 |
| Street Address |
9381 CEDAR ST |
| City | MONTICELLO |
| State | MN |
| Zip | 55362-4522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bethany C Briggs | Physical Therapy | Integrated Care Clinics Pa | 1260 State Hwy 25, Monticello, MN 55362 |
| Sarah E Rowe | Physical Therapy | Integrated Care Clinics Pa | 1260 State Hwy 25, Monticello, MN 55362 |
| Joann K Nelson | Physical Therapy | Integrated Care Clinics Pa | 1260 State Hwy 25, Monticello, MN 55362 |
| Daniel D Swatfager | Physical Therapy | Integrated Care Clinics Pa | 1260 State Hwy 25, Monticello, MN 55362 |
| Dorothy C Saunders | Chiropractic | 355 E Broadway, Manticello, MN 55362-0962 | |
| Jeffrey K Klein | Chiropractic | 1125 Cedar St, Suite 109, Monticello, MN 55362-4407 | |
| Steven T Exsted | Optometry | 9320 Cedar St, Monticello, MN 55362-4522 | |
| Shaun Paul Craig | Chiropractic | 611 Walnut St, Suite 2, Monticello, MN 55362-4579 | |
| Julie C Murphy | Nurse Practitioner | Forever Young Two LLC | 9766 Fallon Ave Ne, Suite 102, Monticello, MN 55362-4589 |
| Jennifer Eldridge | Chiropractic | Atlas Advantage Chiropractic L.l.c | 9766 Fallon Ave Ne, Suite 104, Monticello, MN 55362-4589 |
| Find all physicians in zip 55362 | |||
| City | MONTICELLO |
| Zip Code | 55362 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | MONTICELLO + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Gustavo Pena-velasco.
| 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.