DR. YOULEY TJENDRA (NPI# 1134573652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134573652 |
| Entity Type | Individual |
| Full Name | DR. YOULEY TJENDRA |
| Credential | M.D. |
| Practice Address |
1475 Nw 12th Ave Miami FL 33136-1002 |
| Practice Telephone | 3053551122 |
| Practice Fax Number | 3052435846 |
| Mailing Telephone | 3053551122 |
| Mailing Fax Number | 3052435846 |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME145267 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1475 NW 12TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678862 | Steven L. Cohn | Internal Medicine | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2005-09-06 |
| 1215551064 | Diana Reyes | Pharmacist | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2020-06-07 |
| 1689297392 | Hisham Kamal Sayed Abdalghaffar | Student in an Organized Health Care Education/Training Program | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2020-05-28 |
| 1649890153 | Rosa M Salgado | Registered Nurse | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2020-04-24 |
| 1710515986 | Anthony Davis Anderson | Pharmacist | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2020-04-01 |
| 1851930200 | Hector Garcia | Nurse Practitioner | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2020-01-02 |
| 1962048702 | Patrick Winston Nugent Jr. | Nurse Practitioner | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2019-11-26 |
| 1700420312 | Glorimari Nieves | Registered Nurse | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2019-11-06 |
| 1033751409 | Christian Huergo | Nurse Practitioner | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2019-10-17 |
| 1013559319 | Lourdes Mestre Valdes | Nurse Practitioner | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2019-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265839377 | Hugo Keiji Kaneku Nagahama | Pathology | 1600 Nw 10th Ave Rm 8149, Miami, FL 33136-1015 | 2014-12-04 |
| 1558629519 | August W. Moritz | Pathology | 1611 Nw 12th Ave Fl 2, Miami, FL 33136-1005 | 2012-04-27 |
| 1609161892 | Julio C Poveda | Pathology | 12485 Sw 137th Ave Ste 103, Miami, FL 33186 | 2011-06-15 |
| 1376834796 | Maryam Sharifian | Pathology | Vitro Molecular Laboratories, 8700 W Flagler Street, Suite 100, Miami, FL 33174 | 2011-04-20 |
| 1629386412 | Alina M. Budejen | Pathology | 6236 Sw 10 Terrace, Miami, FL 33144 | 2010-09-15 |
| 1467764449 | Christopher G Economides | Pathology | 2311 Tigertail Ct, Miami, FL 33133-4723 | 2010-07-07 |
| 1326270125 | Ramiro Perez | Pathology | 11801 Sw 31st Ter, Miami, Miami, FL 33175-2333 | 2009-08-13 |
| 1144456591 | Miguel M Gonzalez Md LLC | Pathology | 2662 Sw 110th Ct, Miami, FL 33165-2383 | 2009-05-29 |
| 1487895504 | Maria J Bertoli Avella | Pathology | 3610 Sw 106 Ave, Miami, FL 33165 | 2009-03-19 |
| 1790951127 | Deepan Mathur | Pathology | 936 Sw 1st St., Suite 428, Miami, FL 33130 | 2008-05-06 |
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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.