EZENTIAL REJUVINATION AND WELLNESS CENTER, LLC. (NPI# 1124688924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124688924 |
| Entity Type | Organization |
| Organization Name | EZENTIAL REJUVINATION AND WELLNESS CENTER, LLC. |
| Practice Address |
145 E 49th St Hialeah FL 33013-1846 |
| Practice Telephone | 3055751776 |
| Practice Fax Number | 3055751780 |
| Mailing Telephone | 3055751776 |
| Mailing Fax Number | 3055751780 |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | ODALYS RODMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 3055751776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
145 E 49TH ST |
| City | HIALEAH |
| State | FL |
| Zip Code | 33013-1846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013053859 | Francisco J Dieguez Jr. | Internal Medicine | 145 E 49th St, Hialeah, FL 33013-1846 | 2007-01-29 |
| 1619424637 | Vascardio Heart & Vascular Institute, LLC | Internal Medicine | 145 E 49th St, Hialeah, FL 33013-1846 | 2016-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233918 | Yudith Lazo Gonzales | Behavior Technician | 4565 East 8 Ave, Hialeah, FL 33013 | 2020-07-28 |
| 1710539481 | Paradise Social Club Adult Day Care Corp | Clinic/Center | 3810-3830 E 4th Ave, Hialeah, FL 33013 | 2019-07-12 |
| 1669968624 | Lizette Estevez De Casabuena Serrano | Behavior Technician | 270 E 43rd St, Hialeah, FL 33013 | 2018-07-02 |
| 1790276905 | Villa Rosa Iv, Inc. | Assisted Living Facility | 3051 E. 4 Avenue, Hialeah, FL 33013 | 2018-05-23 |
| 1669972865 | Cristhian Barrios | Chiropractor | 777 E 25th St Ste 306, Hialeah, FL 33013 | 2018-02-15 |
| 1538675749 | Madelin Fuentes | Licensed Practical Nurse | 522 E 25th Street, Hialeah, FL 33013 | 2017-12-26 |
| 1942724273 | Marisol Garcia | Behavior Technician | 3760 E 10th Ave, Hialeah, FL 33013 | 2017-07-28 |
| 1932620838 | Ariana Zita Armas Sanchez | Behavior Technician | 912 E 32nd St, Hialeah, FL 33013 | 2017-06-29 |
| 1740717867 | Thalia Cordero Lopez | Behavior Technician | 4501 E 9th Ct, Hialeah, FL 33013 | 2017-05-19 |
| 1386176873 | Gam Dental | Dentist | 508 East 49 St, Hialeah, FL 33013 | 2017-04-03 |
| Find all providers in zip 33013 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477021574 | Living Well Medical Group, Inc | Clinic/Center | 344 W 65th St Ste 201, Hialeah, FL 33012-6719 | 2018-11-06 |
| 1689165888 | Best Medical Center Hialeah Corp | Clinic/Center | 1165 W 49th St Ste 207, Hialeah, FL 33012-3373 | 2018-05-23 |
| 1184161234 | Karem De La Cruz | Clinic/Center | 8411 Nw 170th Ter, Hialeah, FL 33015-3721 | 2017-01-27 |
| 1093252181 | Yaneisy Calderon | Clinic/Center | 5306 W 26th Ave, Hialeah, FL 33016-4011 | 2017-01-26 |
| 1043676406 | Pierre Health Center and Md Spa, Inc | Clinic/Center | 4980 W 10th Ave Ste 206, Hialeah, FL 33012-3437 | 2016-01-14 |
| 1073978409 | Quevedo Medical Inc | Clinic/Center | 7250 W 20th Ave, Ste 2, Hialeah, FL 33016 | 2015-12-30 |
| 1205214509 | Hm Health Wellnes Corp | Clinic/Center | 1581 W 49th St, Suite 340, Hialeah, FL 33012-2924 | 2015-05-07 |
| 1346634664 | Orelvis Healthcare Inc | Clinic/Center | 1428 E 4th Ave, Hialeah, FL 33010-3528 | 2015-03-25 |
| 1972997682 | Hialeah Medical, Inc. | Clinic/Center | 4980 W 10th Ave Ste 201, Hialeah, FL 33012-3437 | 2015-03-20 |
| 1073903928 | Lead Medical Center Inc | Clinic/Center | 4355 W 16th Ave Ste 206b, Hialeah, FL 33012-7643 | 2015-01-30 |
| Find all providers in HIALEAH | ||||
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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.