Adriana M Ballestas | South Miami, FL • PECOS Search

Adriana M Ballestas

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

7300 SW 62nd Pl Fl 4, South Miami, FL 33143-4800

(305) 662-7901 (305) 244-4430

PECOS Enrollment

Based on the most recent information from CMS, provider Adriana M Ballestas does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 10:37 AM.

Profile Details

Provider ID
1013782747
Provider Type
Individual
Full Name
Ballestas, Adriana M
Title
Mrs.
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
11/22/2023
Last Updated
11/22/2023

Contact Information

Practice Location

7300 SW 62nd Pl Fl 4, South Miami, FL 33143-4800

Unlisted Fax

Mailing Location

1268 SW 19th St, Miami, FL 33145-2915

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11029463 Florida