Patrick Timothy Waters in Miami Gardens - Geriatric Medicine

Patrick Timothy Waters - NPI 1356302715

Patrick Timothy Waters is a Geriatric Medicine in Miami Gardens, Florida. Patrick Timothy Waters practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Patrick Timothy Waters is 1356302715. The last update date is 2020-03-17.

Patrick Timothy Waters's current location address is 1395 Nw 167th St, Miami Gardens, Florida. You can contact this provider via phone number 2678667211 and fax number 2672027398. The mailing address for Patrick Timothy Waters is 1395 Nw 167th St, Miami Gardens, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick Timothy Waters
Address 1395 Nw 167th St, Miami Gardens, Florida
Phone Number 2678667211
Fax Number 2672027398
Sole Proprietor Y
Credentials D.O., F.A.

NPI Number Detail

NPI Number 1356302715
Provider Enumeration Date 2006-03-28
Last Updated Date 2020-03-17

Provider Mailing Address Detail

Address 1395 Nw 167th St
City Miami Gardens
State Florida (FL)
Post Code 331695710
Phone Number 2678667211
Fax Number 2672027398

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Qg0300X
Licence No 0S003179L
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
85987 PA AETNA HMO ONLY
58143000 PA KEYSTONE AND BLUE INDIV #

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FAQs about Patrick Timothy Waters

What is the unique 10-digit identifier code issued to Patrick Timothy Waters by the Centers for Medicare & Medicaid Services?

The Patrick Timothy Waters has been assigned the NPI (National Provider Identifier) 1356302715 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Patrick Timothy Waters is located?

The Patrick Timothy Waters is situated at the following address: 1395 Nw 167Th St, Miami Gardens, FL, 331695710.

What is the Patrick Timothy Waters's area of specialization and corresponding taxonomy classification?

The Patrick Timothy Waters's specialty field is Geriatric Medicine, and it falls under the taxonomy code 207Qg0300X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1356302715 to Patrick Timothy Waters?

The Centers for Medicare & Medicaid Services assigned the 1356302715 to Patrick Timothy Waters on 2006-03-28.

As of what date were the details pertaining to Patrick Timothy Waters last refreshed?

The information related to the Patrick Timothy Waters, including its address, specialty, and other relevant details, was last updated on 2020-03-17.

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