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Blanca Cecilia Chavez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

6855 S Red Rd Ste 600, South Miami, FL 33143-3518

PECOS Enrollment

This provider is enrolled in PECOS as BLANCA CHAVEZ.

Based on the most recent information from CMS, provider Blanca Cecilia Chavez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1285936237
Provider Type
Individual
Full Name
Chavez, Blanca Cecilia
Credential
NP-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/24/2010
Last Updated
12/20/2017

Contact Information

Practice Location

6855 S Red Rd Ste 600, South Miami, FL 33143-3518

(786) 243-8132

Unlisted Fax

Mailing Location

975 Baptist Way, Homestead, FL 33033-7600

(786) 243-8132

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9219799 Florida

Blanca Cecilia Chavez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Pastoriza Garcia, Alina Yvette

Silva, Jiselle

Gottlieb, Nicole L

Fletcher, Meghann

Hubball, Joan

Godoy, Silvia

Gonzalez, Rosa

Perez, Olayne

Vizoso, Francesca

Baixauli, Liana