JESSICA WONG CANAVAL (NPI# 1063953073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063953073 |
| Entity Type | Individual |
| Full Name | JESSICA WONG CANAVAL |
| Credential | A.R.N.P |
| Practice Address |
9045 Sw 87th Ct Miami FL 33176-2304 |
| Mailing Address |
3830 Nw 12th St Miami FL 33126-2611 |
| Practice Telephone | 3055987715 |
| Mailing Telephone | 3057723759 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9289236 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9045 SW 87TH CT |
| City | MIAMI |
| State | FL |
| Zip Code | 33176-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720057987 | Alfonso Jose Monge | Internal Medicine | 9045 Sw 87th Ct, Miami, FL 33176-2304 | 2006-03-17 |
| 1508363383 | Osvaldo Soler | Nurse Practitioner | 9045 Sw 87th Ct, Miami, FL 33176-2304 | 2018-04-09 |
| 1851843593 | Liliam Palacios | Nurse Practitioner | 9045 Sw 87th Ct, Miami, FL 33176-2304 | 2016-10-28 |
| 1801285762 | Adryanna Ruiz | Nurse Practitioner | 9045 Sw 87th Ct, Miami, FL 33176-2304 | 2015-01-15 |
| 1326472861 | Kyra Deanne Goodman | Nurse Practitioner | 9045 Sw 87th Ct, Miami, FL 33176 | 2013-09-01 |
| 1871838193 | Primehealth Physicians LLC | Family Medicine | 9045 Sw 87th Ct, Miami, FL 33176-2304 | 2012-11-28 |
| 1699983296 | Lisa L Levenson | Nurse Practitioner | 9045 Sw 87th Ct, Same As Above, Miami, FL 33176-2304 | 2007-05-18 |
| 1386613586 | Hernando Edwin Chong Jr. | Family Medicine | 9045 Sw 87th Ct, Miami, FL 33176-2304 | 2006-03-17 |
| 1619946837 | Mds of South Florida Pa | Family Medicine | 9045 Sw 87th Ct, Miami, FL 33176-2304 | 2006-03-17 |
| 1689643850 | Diego Carlos Saavedra | Internal Medicine | 9045 Sw 87th Ct, Miami, FL 33176-2304 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064162 | Majela Muse | Nurse Practitioner | 9550 Sw 92th St, Miami, FL 33176 | 2020-08-24 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710515721 | Diana Almeida Araujo | Counselor | 11050 North Kendall Drive, Suite 102, Miami, FL 33176 | 2020-03-27 |
| 1255826285 | Rebecca Arteaga | Behavioral Analyst | 10150 Sw 88th St Apt 104, Miami, FL 33176 | 2018-06-22 |
| 1356834337 | Ag Special Therapy Services Corp | Physical Therapist | 12670 Sw 93 Place, Miami, FL 33176 | 2018-06-13 |
| 1063928562 | Dade Behavioral Services Inc | Behavioral Analyst | 10689 N Kendall Dr Ste 309, Miami, FL 33176 | 2017-12-19 |
| 1619409596 | Antonio Medina Rodriguez | Behavior Technician | 9530 Sw 93 Ct, Miami, FL 33176 | 2017-03-30 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 1205386794 | Orlando Sanchez | Behavior Technician | 10421 Sw 141 St Drive, Miami, FL 33176 | 2016-10-07 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| Find all providers in zip 33176 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1912508193 | Tania Maria Franco | Nurse Practitioner | 848 Ne 81st St, Miami, FL 33138-4630 | 2020-11-04 |
| 1578164794 | Kathryn Elizabeth Watson | Nurse Practitioner | 8000 Sw 96th St, Miami, FL 33156-7422 | 2020-11-04 |
| 1316548811 | Fernando Andres Aguilera | Nurse Practitioner | 3100 Sw 62nd Ave # 124, Miami, FL 33155-3009 | 2020-11-03 |
| 1396346995 | Lauren Vine Redondo | Nurse Practitioner | 7648 Sw 105th Pl, Miami, FL 33173-2931 | 2020-11-02 |
| 1104426766 | Yosen Rodriguez Jimenez | Nurse Practitioner | 2380 Sw 131st Ct, Miami, FL 33175-1157 | 2020-10-31 |
| 1871193755 | Yolanda Justal | Nurse Practitioner | 325 Nw 108th Ter, Miami, FL 33168-3230 | 2020-10-29 |
| 1467051003 | Raiseline De La Caridad Casanova Mederos | Nurse Practitioner | 120 Nw 49th St, Miami, FL 33127-2109 | 2020-10-24 |
| 1518566132 | Mileydis Curbelo | Nurse Practitioner | 15285 Sw 88th Ter, Miami, FL 33196-1462 | 2020-10-23 |
| Find all providers in MIAMI | ||||
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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.