MEDPLAN CLINIC, LLC (NPI# 1023432507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023432507 |
| Entity Type | Organization |
| Organization Name | MEDPLAN CLINIC, LLC |
| Practice Address |
13903 Nw 67th Ave Ste 250 Miami Lakes FL 33014-2938 |
| Mailing Address |
8750 Nw 36th Street Suite 300 Doral FL 33178 |
| Practice Telephone | 3058016952 |
| Mailing Telephone | 7866415348 |
| Mailing Fax Number | 3056151121 |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2017-06-12 |
| Authorized Official Name | MANUEL IGLESIAS (CEO) |
| Authorized Official Telephone | 7866415348 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 018781000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891117362 | Medplan Clinic, LLC | Internal Medicine | 4218 E 4 Ave, Hialeah, FL 33013 | 2014-01-17 |
| 1083078000 | Medplan Clinic, LLC | Internal Medicine | 150 Nw 168th St Ste 301, North Miami Beach, FL 33169-6051 | 2016-04-06 |
| 1699198143 | Medplan Clinic, LLC | Internal Medicine | 900 W 49th St Ste 308, Hialeah, FL 33012-3435 | 2014-02-03 |
| Street Address |
13903 NW 67TH AVE STE 250 |
| City | MIAMI LAKES |
| State | FL |
| Zip Code | 33014-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992748149 | Jose Ernesto Betancourt | Internal Medicine | 13903 Nw 67th Ave Ste 250, Miami Lakes, FL 33014-2938 | 2006-06-14 |
| 1891995098 | Jose E Betancourt Md Pa | Internal Medicine | 13903 Nw 67th Ave Ste 250, Miami Lakes, FL 33014-2938 | 2007-07-25 |
| 1245274232 | Manuel Joaquin Gomez | Pediatrics | 13903 Nw 67th Ave Ste 250, Miami Lakes, FL 33014-2938 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083830 | Mj Pharmacy & Discount LLC | Pharmacy | 1545 West 62nd Street, Suite 62, Hialeah, FL 33014 | 2020-04-28 |
| 1699301333 | Alexander Tamayo Ochoa | Nurse Practitioner | 5400 Nw 159 St Apt 123, Hialeah, FL 33014 | 2020-03-13 |
| 1609336114 | Edward Alexander Pardo | Counselor | 6225 Miami Lakes Drive, Hialeah, FL 33014 | 2019-03-21 |
| 1780158394 | Remedys Nutrition Cv | Pharmacy | 7331 Miami Lakes Dr, Miami Lakes, FL 33014 | 2019-01-16 |
| 1962993642 | Yuleika Rodriguez Gonzalez | Behavior Technician | 6961 W 14th Ct Apt 203, Hialeah, FL 33014 | 2018-05-29 |
| 1730676719 | Bright Steps Therapy Services LLC | Physical Therapy Assistant | 1900 W 68th St Apt E306, Hialeah, FL 33014 | 2018-04-16 |
| 1093211443 | One Soul Cmh Inc | Case Management | 5803 Nw 151st St Ste 202, Miami Lakes, FL 33014 | 2018-04-04 |
| 1528560331 | Yuramis Perez Salvador | Behavior Technician | 8365 W 18 Lane Dr, Hialeah, FL 33014 | 2018-03-07 |
| 1396253613 | Miami Lakes Behavioral Services Corp | Behavioral Analyst | 6001 Nw 153rd Street, Suite 157, Miami Lakes, FL 33014 | 2018-01-22 |
| 1447768452 | Ballast Medical Management, LLC. | Exclusive Provider Organization | 6001 Nw 153rd St Ste 100, Miami Lakes, FL 33014 | 2018-01-12 |
| Find all providers in zip 33014 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729494 | Anchor Plus Wellness Center, LLC | Clinic/Center | 5951 Nw 151st St Ste 205, Miami Lakes, FL 33014-2445 | 2020-10-27 |
| 1881220747 | Unified Medical LLC | Clinic/Center | 15495 Eagle Nest Ln Ste 130, Miami Lakes, FL 33014-2242 | 2020-03-22 |
| 1306321278 | Star Society Outpatient | Clinic/Center | 5881 Nw 151st St Ste 205a, Miami Lakes, FL 33014-2456 | 2018-09-26 |
| 1952811234 | Ynav Medical Center Corp | Clinic/Center | 7480 Fairway Dr Ste 106, Miami Lakes, FL 33014-6879 | 2017-10-02 |
| 1598213555 | Wise Care Corp | Clinic/Center | 5881 Nw 151st St Ste 115, Miami Lakes, FL 33014-2455 | 2016-09-19 |
| 1669892394 | J and C Helath Clinic, Inc | Clinic/Center | 8060 Nw 155th St Ste 100, Miami Lakes, FL 33016-5883 | 2014-04-21 |
| 1619249018 | Power G Medical Center, Corp | Clinic/Center | 14160 Palmetto Frontage Rd, Suite 100, Miami Lakes, FL 33016 | 2012-01-31 |
| 1437448354 | Lake Medical Group, LLC | Clinic/Center | 8140 Nw 155th St, Suite 203, Miami Lakes, FL 33016-5847 | 2011-03-31 |
| 1700104155 | Health Professional Services Inc | Clinic/Center | 8185 Nw 155th St, 2, Miami Lakes, FL 33016-5872 | 2010-05-10 |
| 1508096736 | Wellmax Health Medical Centers, LLC | Clinic/Center | 6540 Northwest 186 Street, Miami Lakes, FL 33015 | 2009-07-22 |
| Find all providers in MIAMI LAKES | ||||
| City | MIAMI LAKES |
| Zip Code | 33014 |
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| 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.