BANYAN COMMUNITY HEALTH CENTER, INC (NPI# 1104247188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104247188 |
| Entity Type | Organization |
| Organization Name | BANYAN COMMUNITY HEALTH CENTER, INC |
| Practice Address |
3733 W Flagler St Coral Gables FL 33134-1601 |
| Mailing Address |
6100 Blue Lagoon Dr Suite 400 Miami FL 33126-2079 |
| Practice Telephone | 3053986100 |
| Practice Fax Number | 3053986099 |
| Mailing Telephone | 3053986100 |
| Mailing Fax Number | 3053986099 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2014-08-15 |
| Authorized Official Name | ILEANA R GARCIA (COO) |
| Authorized Official Telephone | 3053986100 |
| Authorized Official Credential | EXECUTIVE DIRECT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 005966004 | 05 | |
| FL | 005966005 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972979631 | Banyan Community Health Center, Inc | Community/Behavioral Health | 1061 W Oakland Park Blvd, Wilton Manors, FL 33311-1609 | 2015-08-18 |
| 1710360482 | Banyan Community Health Center, Inc | Community/Behavioral Health | 220 Sw 2nd St, Pompano Beach, FL 33060-4611 | 2015-06-30 |
| 1205243623 | Banyan Community Health Center, Inc | Community/Behavioral Health | 1560 Sw 1st St, Miami, FL 33135-2103 | 2014-07-17 |
| 1710394499 | Banyan Community Health Center, Inc | Community/Behavioral Health | 3800 W Flagler St, Coral Gables, FL 33134-1604 | 2014-07-15 |
| 1538576459 | Banyan Community Health Center, Inc | Community/Behavioral Health | 1566 Sw 1st St, Suite 21-23, Miami, FL 33135-2103 | 2014-07-14 |
| 1922349737 | Banyan Community Health Center, Inc | Case Management | 3850 W Flagler St, Coral Gables, FL 33134-1604 | 2013-03-05 |
| Street Address |
3733 W FLAGLER ST |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33134-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497737852 | Manuel Vega | Pediatrics | 3733 W Flagler St, Coral Gables, FL 33134-1601 | 2005-11-18 |
| 1760013098 | Melissa Priegues | Social Worker | 3733 W Flagler St, Coral Gables, FL 33134-1601 | 2020-01-27 |
| 1992298202 | Jacquelin Da Hora | Social Worker | 3733 W Flagler St, Coral Gables, FL 33134-1601 | 2018-06-11 |
| 1073902219 | Mabel Conde | Case Manager/Care Coordinator | 3733 W Flagler St, Coral Gables, FL 33134-1601 | 2015-01-12 |
| 1457750028 | Daniela Andreina Ibarra | Nurse Practitioner | 3733 W Flagler St, Coral Gables, FL 33134-1601 | 2014-08-19 |
| 1255754552 | Ariel Cagigas | Nurse Practitioner | 3733 W Flagler St, Coral Gables, FL 33134-1601 | 2014-01-23 |
| 1811336118 | Adianez Albelo | Family Medicine | 3733 W Flagler St, Coral Gables, FL 33134-1601 | 2013-06-19 |
| 1003250952 | Arias Eye Center | Eyewear Supplier (Equipment, not the service) | 3733 W Flagler St, Coral Gables, FL 33134-1601 | 2013-04-23 |
| 1689962672 | Ruben Bembibre | Nurse Practitioner | 3733 W Flagler St, Coral Gables, FL 33134-1601 | 2011-07-12 |
| 1962637314 | Vanessa Villacorta Sierra | Family Medicine | 3733 W Flagler St, Coral Gables, FL 33134-1601 | 2009-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179794 | Aubree Udell | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2020-06-23 |
| 1346880481 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1906 Ponce De Leon Boulvard, Coral Gables, FL 33134 | 2020-01-07 |
| 1306494406 | Giselle Gutierrez | Dermatology | 401 Coral Way, Suite 207, 401 Coral Way Suite 207, Coral Gables, FL 33134 | 2019-09-01 |
| 1376190363 | Jessica Fishel | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2019-08-23 |
| 1962057380 | Ariel Betancourt | Behavior Technician | 3905 West Flagler St, Apt# 6, Miami, FL 33134 | 2019-08-02 |
| 1023662574 | April Gonzalez | Physical Therapy Assistant | 1500 Dougla Rd, Coral Gables, FL 33134 | 2019-08-01 |
| 1255999678 | Arturo Corces Md Pa | Orthopaedic Surgery | 747 Ponce Deleon Blvd, Ste 505, Coral Gables, FL 33134 | 2019-05-31 |
| 1386200673 | Life Bridge Community Center | Case Management | 5246 Sw 8th St Ste 205c, Miami, FL 33134 | 2019-05-13 |
| 1083187884 | Sun Health Care Inc | Clinic/Center | 3990 West Flagler Street, Suite 406, Miami, FL 33134 | 2019-01-04 |
| 1902389471 | Jamie Lynn Innis | Physician Assistant | 314 Romano Ave, Coral Gables, FL 33134 | 2018-09-11 |
| Find all providers in zip 33134 | ||||
| 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 |
|---|---|---|---|---|
| 1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
| 1558784967 | Community Health of South Florida, Inc. | Clinic/Center | 450 Bird Rd, Coral Gables, FL 33146-1306 | 2014-01-22 |
| 1992128300 | Community Health of South Florida, Inc. | Clinic/Center | 4901 Lincoln Dr, Coral Gables, FL 33133-5635 | 2014-01-22 |
| 1932522331 | Community Health of South Florida, Inc. | Clinic/Center | 5801 Augusto St, Coral Gables, FL 33146-2606 | 2014-01-22 |
| 1417326299 | Borinquen Health Care Center Inc | Clinic/Center | 4901 Lincoln Dr, Coral Gables, FL 33133-5635 | 2015-09-22 |
| 1538537253 | Borinquen Health Care Center | Clinic/Center | 450 Bird Rd, Coral Gables Senior High, Coral Gables, FL 33146-1306 | 2015-09-11 |
| 1205233772 | Banyan Community Health Center, Inc. | Clinic/Center | 3800 W Flagler St, Coral Gables, FL 33134-1604 | 2014-12-01 |
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| 1194326132 | Foundcare Inc | Clinic/Center | 5867 Okeechobee Blvd, West Palm Beach, FL 33417-4344 | 2020-11-05 |
| 1720686355 | Mcr Health, Inc. | Clinic/Center | 170 N Lime Ave, Sarasota, FL 34237-6122 | 2020-10-15 |
| 1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
| 1679185292 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 8600 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1001 | 2020-08-17 |
| 1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 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 | CORAL GABLES |
| Zip Code | 33134 |
Please comment or provide details below to improve the information on BANYAN 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.