Canales, Wilfredo
Canales, Wilfredo is an individual health care provider with primary practice located at 1301 Ne Miami Gardens Dr Apt 1525 , Miami Gardens FL 33179-4994. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Canales, Wilfredo can be contacted via phone (305) 333-0879.Contact Information
Primary practice address
1301 Ne Miami Gardens Dr Apt 1525
Miami Gardens FL 33179-4994
Phone: (305) 333-0879
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT17474 | Florida |
Profile Details
NPI number | 1487792461 |
---|---|
LBN Legal business name | Canales, Wilfredo |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 2nd, 2007 |
Last updated | Mar 14th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487792461 | NPPES |
Florida | Other | 287313 | WELLCARE (ATA) |
Florida | Other | 2903 | WELLCARE (ATA) |
Florida | Other | 699013 | WELLCARE (ATA) |
Florida | MEDICAID | 889671200 | WELLCARE (ATA) |
Florida | Other | 276370 | WELLCARE (ATA) |
Florida | Other | 4446 | WELLCARE (ATA) |
Florida | Other | Y032D | WELLCARE (ATA) |
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