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Pedro Enrique Lastres Hernandez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

7200 Curry Ford Rd, Orlando, FL 32822-5806

PECOS Enrollment

This provider is enrolled in PECOS as PEDRO LASTRES HERNANDEZ.

Based on the most recent information from CMS, provider Pedro Enrique Lastres Hernandez 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 3 days ago.

Profile Details

Provider ID
1891553335
Provider Type
Individual
Full Name
Lastres Hernandez, Pedro Enrique
Credential
APRN

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/11/2024
Last Updated
3/11/2024

Contact Information

Practice Location

7200 Curry Ford Rd, Orlando, FL 32822-5806

(786) 558-5772

(786) 513-3731

Mailing Location

1610 Scarbrough Abby Pl, Saint Cloud, FL 34771-3905

(786) 870-8834

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11023084 Florida

Pedro Enrique Lastres Hernandez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Rios Hernandez, Yolanda

Perez, Yvette

De Zayas, Edelio Valentin

Mackey, Kelly Jean

Miller, Patricia Audrey

Raymond, Lynda

Yanes Delgado, Miguel

Joseph, Malaika Stephanie

Ortiz, Carlos Gilberto

Bell, Kemille Okelia