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Raisa Barros

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

5975 Sunset Dr Ste 402, South Miami, FL 33143-5198

PECOS Enrollment

Based on the most recent information from CMS, provider Raisa Barros 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
1548828478
Provider Type
Individual
Full Name
Barros, Raisa
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
6/5/2019
Last Updated
6/5/2019

Contact Information

Practice Location

5975 Sunset Dr Ste 402, South Miami, FL 33143-5198

(305) 669-2833

(305) 669-2840

Mailing Location

12210 SW 123rd Pass, Miami, FL 33186-5469

(305) 772-4242

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11002587 Florida

Raisa Barros

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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