Unknown Individual – Obstetrics & Gynecology Physician, NPI 1386682110
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2021-06-17. Reason: Felony conviction relating to health care fraud (mandatory; min. 5 years).
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Southwest 24th Street, Coral Gables, Miami-Dade County, Florida, 33133:33134:33135, United States
SUITE 303
CORAL GABLES, FL 331453213
Phone: (305) 461-6060
Type: Mailing
440, West 49th Street, Palm Springs, Hialeah, Miami-Dade County, Florida, 33012, United States
HIALEAH, FL 330123603
Phone: (305) 828-5000
Fax: (305) 461-5911
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33145)
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