COLLABORATIVE CARDIOVASCULAR, LLC (NPI# 1154782449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154782449 |
Entity Type | Organization |
Organization Name | COLLABORATIVE CARDIOVASCULAR, LLC |
Practice Address |
11220 Sw 74th Ct Miami FL 33156-4520 |
Practice Telephone | 3056625200 |
Mailing Telephone | 3056625200 |
Enumeration Date | 2016-03-14 |
Last Update Date | 2016-03-14 |
Authorized Official Name | DR. NIBERTO MORENO (OWNER) |
Authorized Official Telephone | 3056625200 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME105336 | FL | Allopathic & Osteopathic Physicians |
Street Address |
11220 SW 74TH CT |
City | MIAMI |
State | FL |
Zip Code | 33156-4520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255930046 | Orlando Maiguel Garcia | Massage Therapist | 6500 Sw 111th St, Pinecrest, FL 33156 | 2020-10-22 |
1326514167 | James J Jennings Md LLC | Family Medicine | 11921 South Dixie Hwy, Ste. 201, Pinecrest, FL 33156 | 2018-10-19 |
1134615487 | Yanet Betancourt | Assistant Behavior Analyst | 7725 N Kendall Dr Apt 220, Miami, FL 33156 | 2018-07-10 |
1265922215 | Jenny C Devereaux | Social Worker | 9100 S Dadeland Blvd Suite 1500, Suite 1500, Miami, FL 33156 | 2018-05-15 |
1760989099 | Cyndia Talia Alfonso | Behavior Technician | 7290 Sw 90th St Apt 302, Miami, FL 33156 | 2018-04-12 |
1699277178 | John Addison, Dmd, Pa | Durable Medical Equipment & Medical Supplies | 9700 S. Dixie Highway Suite 910, Miami, FL 33156 | 2018-03-01 |
1174041313 | Erin Shay | Physician Assistant | 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 | 2017-09-08 |
1699297036 | Natasha Beene | Behavioral Analyst | 7572 Sw 102nd St, Miami, FL 33156 | 2017-07-07 |
1174055461 | Zoryana Dudaryk | Physician Assistant | 8200 Sw 134 St, Pinecrest, FL 33156 | 2017-03-28 |
1639618044 | Calm Care Dental Associates, Inc | Dentist | 12531 South Dixie Highway, Pinecrest, FL 33156 | 2017-02-17 |
Find all providers in zip 33156 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114488400 | Cfl Care of Fl IIi, LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760, Miami, FL 33131-1815 | 2019-03-28 |
1427407410 | Dean Heller Md Pa | Internal Medicine | 9240 Sunset Dr Ste 116, Miami, FL 33173-3262 | 2016-06-09 |
1174970073 | Niberto A Moreno Md Pllc | Internal Medicine | 9195 Sw 72nd St Ste 200, Miami, FL 33173-3488 | 2016-05-20 |
1295192086 | Ana M Acosta Md Pa | Internal Medicine | 330 Sw 27th Ave Ste 701, Miami, FL 33135-2968 | 2016-01-25 |
1851718951 | Mehrdad Ghahramani | Internal Medicine | 1320 Nw 14th St, Miami, FL 33125-1609 | 2014-03-26 |
1215287594 | Primary Provider Inc. | Internal Medicine | 9193 Sunset Dr Ste 210, Miami, FL 33173-3487 | 2012-09-14 |
1235494402 | Ricardo Javier Hernandez | Internal Medicine | 3641 S Miami Ave Ste 221, Miami, FL 33133-4219 | 2012-07-12 |
1215296199 | Casa De Corazon P A | Internal Medicine | 3661 S Miami Ave Ste 902, Miami, FL 33133-4214 | 2012-05-11 |
1457617516 | Marquand Patton Jr. | Internal Medicine | 2601 Sw 37th Ave Ste 901, Miami, FL 33133-2751 | 2012-04-03 |
1780977991 | Rene J Gomez Md Pa | Internal Medicine | 7400 N Kendall Dr Ste 511, Miami, FL 33156-7712 | 2011-05-20 |
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.