MR. CARL SALERA GASTANES


Address: 953 Southern Blvd Rm 202, Bronx, NY 10459-3428
Phone: 7185894541

MR. CARL SALERA GASTANES (NPI# 1821581141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821581141
Entity Type Individual
Full Name MR. CARL SALERA GASTANES
Other Name MR. JENEFER CARLITO SALERA GASTANES
Credential NP
Practice Address 953 Southern Blvd Rm 202
Bronx
NY 10459-3428
Practice Telephone 7185894541
Practice Fax Number 7188938511
Mailing Telephone 7185894541
Mailing Fax Number 7188938511
Enumeration Date 2018-06-11
Last Update Date 2018-06-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
F342291-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 953 SOUTHERN BLVD RM 202
City BRONX
State NY
Zip Code 10459-3428

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1699196303 Rosa Heredia Nurse Practitioner 234 East 149th Street, Medicine Department 8th Floor, Bronx, NY 10451 2013-12-23

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Competitor

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City BRONX
Zip Code 10459

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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