DR. RUSDANY COLLADO FUENTES (NPI# 1164050001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164050001 |
| Entity Type | Individual |
| Full Name | DR. RUSDANY COLLADO FUENTES |
| Credential | MD |
| Practice Address |
11750 Sw 40th St Miami FL 33175-3530 |
| Practice Telephone | 3052233000 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
11750 SW 40TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164476313 | Gregory J Alfred | Emergency Medicine | 11750 Sw 40th St, Kendall Regional Medical Center Emergency Dept, Miami, FL 33175-3530 | 2006-05-20 |
| 1033710082 | Daniel Fortich | Registered Nurse | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-11-05 |
| 1609492685 | Luis Alberto Cardenas | Nurse Practitioner | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-06-24 |
| 1982227807 | Carlos Luis Rio Santana | Nurse Practitioner | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-05-27 |
| 1710516067 | Kevin Warren | Student in an Organized Health Care Education/Training Program | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-04-07 |
| 1962031344 | Alvaro Castro | Student in an Organized Health Care Education/Training Program | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-04-07 |
| 1902435027 | Leo Berman Ferretti | Student in an Organized Health Care Education/Training Program | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-04-02 |
| 1073141644 | Andres Felipe Sanchez | Student in an Organized Health Care Education/Training Program | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-03-30 |
| 1669000345 | John Dennis Ehrhardt Jr. | Student in an Organized Health Care Education/Training Program | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-03-30 |
| 1235767062 | Karolyna Mercedes Rey | Student in an Organized Health Care Education/Training Program | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011013 | Aldo Menendez Arcia | Student in an Organized Health Care Education/Training Program | 12250 Nw 8th St, Miami, FL 33182-2421 | 2020-10-21 |
| 1285233403 | Angel Rose Picart | Student in an Organized Health Care Education/Training Program | 12741 Sw 108th St, Miami, FL 33186-3514 | 2020-10-19 |
| 1801494166 | Jason Duran | Student in an Organized Health Care Education/Training Program | 1457 Nw 50th St, Miami, FL 33142-4161 | 2020-10-09 |
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1457958662 | Cristian Perez | Student in an Organized Health Care Education/Training Program | 3060 Nw 96th St, Miami, FL 33147-2353 | 2020-10-01 |
| 1659988509 | Karen Hernandez | Student in an Organized Health Care Education/Training Program | 3871 Sw 147th Ave Apt 5, Miami, FL 33185-4006 | 2020-09-24 |
| 1255948329 | Joel Emilio Diaz-portorreal | Student in an Organized Health Care Education/Training Program | 14727 Sw 112th Ter, Miami, FL 33196-3326 | 2020-09-23 |
| 1205442043 | Elizabeth Granado | Student in an Organized Health Care Education/Training Program | 14293 Sw 145th Pl, Miami, FL 33186-6787 | 2020-09-17 |
| 1598370678 | Christian Marcos | Student in an Organized Health Care Education/Training Program | 2930 Sw 93rd Ct, Miami, FL 33165-3147 | 2020-09-15 |
| 1255944658 | Tali Epelbaum | Student in an Organized Health Care Education/Training Program | 3105 Ne 210th Ter, Miami, FL 33180-3911 | 2020-08-25 |
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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.