MEDICARE: ELSA DREVYN

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	225100000X	Physical Therapist	PT21153	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275583817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELSA DREVYN

Provider Business Mailing Address
First Line	:	5915 PONCE DE LEON BLVD
Second Line	:	5TH FLOOR
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2435
Country	:	US
Telephone Number	:	305-284-4535
Fax Number	:	305-284-4569

Provider Business Practice Location Address
First Line	:	5915 PONCE DE LEON BLVD
Second Line	:	5TH FLOOR
City	:	CORAL GABLES
State	:	FL
Zip	:	33146
Country	:	US
Telephone Number	:	305-284-4535
Fax Number	:	305-284-6128

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	04/20/2012

Similar Medicare Providers

1336672716 — DANIEL GONZALEZ
Practice Location Address:

4665 PONCE DE LEON BLVD
CORAL GABLES, FL
33146-2101

Practice Phone: 786-464-0749
Practice Fax:

1215295639 — RICARDO ISMAEL PALMEROLA M.D.
Practice Location Address:

5555 PONCE DE LEON BLVD
CORAL GABLES, FL
33146-2513

Practice Phone: 305-243-6090
Practice Fax:

1205790730 — PEDRO OLIVEIRA
Practice Location Address:

360 GRANELLO AVE
CORAL GABLES, FL
33146-1883

Practice Phone: 305-420-5682
Practice Fax:

1730041369 — ANGEL OSCAR ALARCON SILVA
Practice Location Address:

5000 UNIVERSITY DR
CORAL GABLES, FL
33146-2008

Practice Phone: 786-308-3440
Practice Fax:

1891491320 — HELEN CARIDAD VIDAL PA-C
Practice Location Address:

5955 PONCE DE LEON BLVD
CORAL GABLES, FL
33146-2423

Practice Phone: 305-661-1515
Practice Fax: 786-533-9518

1023011970 — DR. RALPH G NADER MD
Practice Location Address:

5555 PONCE DE LEON BLVD
CORAL GABLES, FL
33146-2513

Practice Phone: 305-585-6683
Practice Fax: 305-324-6012

1245235829 — ALYSA ROBIN HERMAN MD
Practice Location Address:

135 SAN LORENZO AVENUE , S.700
CORAL GABLES, FL
33146

Practice Phone: 305-444-4979
Practice Fax: 305-444-4978

Directions to “ ELSA DREVYN ” 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.