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Miriam Isabel Guerra Otero

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

5901 SW 74th St Ste 205, Miami, FL 33143-5150

PECOS Enrollment

This provider is enrolled in PECOS as MIRIAM GUERRA OTERO.

Based on the most recent information from CMS, provider Miriam Isabel Guerra Otero 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
1558729970
Provider Type
Individual
Full Name
Guerra Otero, Miriam Isabel
Credential
ARNP

Gender
Female
Sole Proprietor
No
Enumeration Date
1/29/2016
Last Updated
4/12/2021

Contact Information

Practice Location

5901 SW 74th St Ste 205, Miami, FL 33143-5150

(305) 666-8691

Unlisted Fax

Mailing Location

14750 NW 77th Ct Ste 100, Miami Lakes, FL 33016-1507

(786) 485-1005

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9387139 Florida

Miriam Isabel Guerra Otero

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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