MIAMI BEACH COMMUNITY HEALTH CENTER INC (NPI# 1063411874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063411874 |
| Entity Type | Organization |
| Organization Name | MIAMI BEACH COMMUNITY HEALTH CENTER INC |
| Practice Address |
710 Alton Rd Miami Beach FL 33139-5504 |
| Mailing Address |
11645 Biscayne Blvd Suite 207 Miami FL 33181-3155 |
| Practice Telephone | 3055388835 |
| Practice Fax Number | 3055325766 |
| Mailing Telephone | 3055388835 |
| Mailing Fax Number | 3055325766 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | MARK RABINOWITZ (CEO) |
| Authorized Official Telephone | 3055388835 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029544200 | 05 | |
| FL | 029544201 | 05 | |
| FL | 029544207 | 05 | |
| FL | 029544210 | 05 | |
| FL | 105384100 | 05 | |
| FL | 029544209 | 05 | |
| FL | 026581100 | 05 | |
| FL | 077846000 | 05 | |
| FL | 037485700 | 05 | |
| FL | 29234600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104357565 | Miami Beach Community Health Center Inc | Clinic/Center | 11645 Biscayne Blvd, Suite 302 & 304, Miami, FL 33181-3155 | 2017-03-27 |
| 1053780734 | Miami Beach Community Health Center Inc | Clinic/Center | 11645 Biscayne Blvd, Suite 401, 403, 405, Miami, FL 33181-3139 | 2015-09-23 |
| 1497124176 | Miami Beach Community Health Center Inc | Clinic/Center | 11645 Biscayne Blvd, Suite 408, North Miami, FL 33181-3155 | 2015-09-23 |
| 1821251612 | Miami Beach Community Health Center Inc | Clinic/Center | 1221 71st St, Miami, FL 33141-3647 | 2008-07-02 |
| 1215002571 | Miami Beach Community Health Center Inc | Pharmacy | 710 Alton Rd, Miami Beach, FL 33139-5504 | 2006-11-22 |
| 1689749269 | Miami Beach Community Health Center Inc | Pharmacy | 1221 71st St, Miami Beach, FL 33141-3647 | 2006-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MIAMI BEACH COMMUNITY HEALTH CENTER INC. | 710 Alton Rd, Miami Beach, FL 33139-5504 |
| Street Address |
710 ALTON RD |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33139-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275004343 | Jorge Wilder Ubau | Dental Hygienist | 710 Alton Rd, Miami Beach, FL 33139-5504 | 2018-12-16 |
| 1801251939 | Claudia L Tellez | Case Manager/Care Coordinator | 710 Alton Rd, Miami Beach, FL 33139-5504 | 2015-12-16 |
| 1134462427 | Yura Casanova | Social Worker | 710 Alton Rd, Behavioral Health Department, Miami Beach, FL 33139-5504 | 2013-04-04 |
| 1750673141 | Kara A Burnstine | Dietitian, Registered | 710 Alton Rd, Miami Beach, FL 33139-5504 | 2011-05-04 |
| 1649580747 | Kimberly Anne Galbut | Dentist | 710 Alton Rd, Miami Beach, FL 33139-5504 | 2010-10-08 |
| 1194951004 | Evelyn Assor | Internal Medicine | 710 Alton Rd, Miami Beach, FL 33139-5504 | 2009-06-05 |
| 1992946925 | Sandy Ruiz Calle | Pediatrics | 710 Alton Rd, Miami Beach, FL 33139-5504 | 2009-03-21 |
| 1700059425 | Michael Frederick Drusano | Family Medicine | 710 Alton Rd, Miami Beach, FL 33139-5504 | 2008-04-03 |
| 1053518969 | Ruben I Figueroa | Pharmacist | 710 Alton Rd, Miami Beach, FL 33139-5504 | 2007-07-03 |
| 1528278249 | Linda Simon | Counselor | 710 Alton Rd, Miami Beach, FL 33139-5504 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973061 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 709 Alton Road Suite 430, Miami Beach, FL 33139 | 2019-10-14 |
| 1811548308 | Yoel O Guerra | Behavior Technician | 800 West Ave Apt 942, Miami Beach, FL 33139 | 2019-09-25 |
| 1285153239 | Stella Kocovic Villacorta | Internal Medicine | 709 Alton Road, Suite 440, Miami Beach, FL 33139 | 2017-09-11 |
| 1922524164 | Noel De Leon | Pharmacist | 730 15 Street Apt 1-d, Miami Beach, FL 33139 | 2017-08-18 |
| 1861916868 | Susana Cruz | Behavior Technician | 710 Washinghton Ave Apt# 223, Miami Beach, FL 33139 | 2017-08-01 |
| 1730627530 | Viviana Yerex | Behavior Technician | 800 West Ave. Apt. 602, Miami Beach, FL 33139 | 2017-02-01 |
| 1841662921 | Miami Beach Holistic Addiction Treatment Center | Substance Abuse Rehabilitation Facility | 309 23rd Street Ste 200-c, Miami Beach, FL 33139 | 2015-10-28 |
| 1609245778 | Borinquen Health Care Center Inc | Clinic/Center | 1050 4th Street, South Pointe Elementary, Miami Beach, FL 33139 | 2015-09-18 |
| 1558730622 | Borinquen Health Care Center Inc | Clinic/Center | 1420 Washington Avenue, Fienberg Fisher K-8, Miami Beach, FL 33139 | 2015-09-18 |
| 1407238603 | Wayne Holman | General Practice | 500 South Pointe Drive Suite 220, C/o Ridgeback Capital Management, Miami Beach, FL 33139 | 2015-06-24 |
| Find all providers in zip 33139 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972972750 | Borinquen Health Care Center | Clinic/Center | 800 77th St, Miami Beach, FL 33141-2209 | 2015-09-22 |
| 1609245778 | Borinquen Health Care Center Inc | Clinic/Center | 1050 4th Street, South Pointe Elementary, Miami Beach, FL 33139 | 2015-09-18 |
| 1558730622 | Borinquen Health Care Center Inc | Clinic/Center | 1420 Washington Avenue, Fienberg Fisher K-8, Miami Beach, FL 33139 | 2015-09-18 |
| 1386085884 | Borinquen Health Care Center, Inc. | Clinic/Center | 4100 Prairie Ave, Miami Beach, FL 33140-3515 | 2013-07-12 |
| 1831438803 | Care Resource Community Health Centers, Inc. | Clinic/Center | 1701 Meridian Ave, Suite 400, Miami Beach, FL 33139 | 2013-02-11 |
| 1386012011 | Borinquen Health Care Center | Clinic/Center | 2231 Prairie Ave, Miami Beach Senior High, Miami Beach, FL 33139-1517 | 2015-09-11 |
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| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI BEACH |
| Zip Code | 33139 |
Please comment or provide details below to improve the information on MIAMI BEACH COMMUNITY HEALTH CENTER INC.
| 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.