MEDICARE: SOUTH FLORIDA PAT NETWORK INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1215041488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH FLORIDA PAT NETWORK INC

Provider Business Mailing Address
First Line	:	435 HIALEAH DR
Second Line	:	SUITE 6
City	:	HIALEAH
State	:	FL
Zip	:	33010-5358
Country	:	US
Telephone Number	:	305-887-0838
Fax Number	:

Provider Business Practice Location Address
First Line	:	435 HIALEAH DR
Second Line	:	SUITE 6
City	:	HIALEAH
State	:	FL
Zip	:	33010-5358
Country	:	US
Telephone Number	:	305-887-0838
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IHANCO CARRASQUEL
Credential	:
Telephone Number	:	305-887-0838

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1699873919 — REH OF DADE, INC
Practice Location Address:

435 HIALEAH DR , # 4
HIALEAH, FL
33010-5358

Practice Phone: 305-887-0857
Practice Fax: 305-887-0859

1992900880 — LAM MOBILE DIAGNOSTIC INC
Practice Location Address:

435 HIALEAH DR , UPSTAIRS OFFFICE #6
HIALEAH, FL
33010-5358

Practice Phone: 305-805-0014
Practice Fax: 305-805-0445

1144184854 — YASSER OLAZABAL CASTRO
Practice Location Address:

6861 W 4TH AVE APT 17
HIALEAH, FL
33014-5358

Practice Phone: 786-826-8700
Practice Fax:

1598271801 — RISELDA ALMENARES AGUEDO
Practice Location Address:

2972 W 8TH AVE APT 5
HIALEAH, FL
33012-5358

Practice Phone: 786-442-9227
Practice Fax:

1558255166 — GUSTAVO QUEVEDO
Practice Location Address:

7573 W 29TH LN
HIALEAH, FL
33018-5358

Practice Phone: 305-746-8198
Practice Fax:

1912287269 — JAY DIAGNOSTIC & REHAB. CENTER
Practice Location Address:

742 E 10TH ST
HIALEAH, FL
33010-3636

Practice Phone: 786-536-5358
Practice Fax: 786-536-5484

Directions to “SOUTH FLORIDA PAT NETWORK INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.