MILLENIUM MEDICAL GROUP CORP. (NPI# 1093287377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093287377 |
| Entity Type | Organization |
| Organization Name | MILLENIUM MEDICAL GROUP CORP. |
| Practice Address |
2720 Sw 97th Ave Ste C105 Miami FL 33165-2677 |
| Practice Telephone | 7863324330 |
| Practice Fax Number | 7863324109 |
| Mailing Telephone | 7863324330 |
| Mailing Fax Number | 7863324109 |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |
| Authorized Official Name | GABRIELA CRUZ (SECRETARY) |
| Authorized Official Telephone | 7863324330 |
| Is Organization Subpart | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 023735400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629585906 | Millenium Medical Group Corp. | Massage Therapist | 2740 Sw 97th Ave, Suite Number A-111, Miami, FL 33165-3316 | 2018-01-08 |
| Street Address |
2720 SW 97TH AVE STE C105 |
| City | MIAMI |
| State | FL |
| Zip Code | 33165-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1801401500 | Paradigm Kids Miami LLC | Behavioral Analyst | 11375 Sw 45th St, Miami, FL 33165 | 2020-09-10 |
| 1922643972 | Maritza Suarez | Behavior Technician | 1811 Sw 107th Ave Apt 2301, Miami, FL 33165 | 2019-11-14 |
| 1700439700 | 305 Medical Care Inc | Physical Medicine & Rehabilitation | 8900 Sw 24th, #209, Miami, FL 33165 | 2019-07-18 |
| 1124682299 | Picasso Dental Miami, Inc | General Practice | 9230 Sw 40th St Ste A, Miami, FL 33165 | 2019-04-24 |
| 1538723838 | Mihr Urgent Care Corp | Clinic/Center | 8900 Sw 24 St. Ste #200, Miami, FL 33165 | 2019-04-23 |
| 1942766670 | Daniel Luis Hernandez | Nurse Practitioner | 10250 Sw 56 St Suit D-103, Miami, FL 33165 | 2019-02-19 |
| 1124583695 | Meliza Mercedes Perea | Nurse Practitioner | 3850 Sw 87th Ave Ste 205, Miami, FL 33165 | 2019-02-08 |
| 1629551700 | Jorge L Hernandez | Nurse Practitioner | 8710 Sw 41 Terrace, Miami, FL 33165 | 2018-09-13 |
| 1245718857 | Cac Florida Medical Centers, LLC | Clinic/Center | 10453-55 Sw 40 Street, Miami, FL 33165 | 2018-08-06 |
| Find all providers in zip 33165 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728019 | Nana Aisha Garba | Family Medicine | 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 | 2020-07-27 |
| 1558822205 | Jose Luis Calderon | Family Medicine | 11531 Sw 6th St, Miami, FL 33174-3701 | 2019-03-26 |
| 1386109692 | Hercule Lamur | Family Medicine | 14768 Sw 158 Path, Miami, FL 33196 | 2019-01-31 |
| 1013322585 | La Quinta Medical Center of Little Haiti | Family Medicine | 7050 Ne 2nd Ave, Miami, FL 33138-5508 | 2014-06-24 |
| 1598003493 | Roberta Martin | Family Medicine | 5029 Sw 71st Pl, Miami, FL 33155-5606 | 2013-01-28 |
| 1265704514 | Marta Ariel Pfaffenberger | Family Medicine | 3301 Ne 5th Ave Apt 1107, Miami, FL 33137-4027 | 2012-02-02 |
| 1376821322 | Lorenzo J. Negret, M.d., P.a. | Family Medicine | 11760 Sw 40th St Ste 433, Miami, FL 33175-3595 | 2011-07-25 |
| 1841451929 | Ariadna Valdes | Family Medicine | 7000 Sw 97th Ave Ste 106, Miami, FL 33173-1474 | 2008-06-20 |
| 1427218049 | Coya Medical Center, Pa | Family Medicine | 2580 Sw 107th Ave, Miami, FL 33165-2400 | 2008-06-17 |
| 1093864548 | Carlos O Rodriguez | Family Medicine | 1933 Sw 27th Ave Ste 101, Miami, FL 33145-2538 | 2007-01-10 |
| 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.