Look up the most recent NPI and PECOS records

Manuela Conde

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Manuela Conde 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
1538823075
Provider Type
Individual
Full Name
Conde, Manuela
Credential
APRN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/29/2021
Last Updated
10/29/2021

Contact Information

Practice Location

6310 Sunset Dr, Miami, FL 33143-4823

(305) 669-2799

(305) 662-5895

Mailing Location

11924 Forest Hill Blvd Ste 10a-411, Wellington, FL 33414-6256

(561) 425-2929

(561) 810-1677

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11016207 Florida

Provider Identifiers

ID	Description	Issuer
ID APRN11016207	Description Other	Issuer LICENSE Florida

Manuela Conde

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Prasad, Sushama

Martinez, Yuliet

Ceballos, Yenny M

Grillo, Elena

Fletcher, Meghann

Munoz, Kathleen Fitzgerald

Pastoriza Garcia, Alina Yvette

Jordan, Kristen Nicole

Vazquez, Dayana

Pena, Erica Denise