CIVIC MEDICAL CENTER OF MIAMI, INC. (NPI# 1164712857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164712857 |
| Entity Type | Organization |
| Organization Name | CIVIC MEDICAL CENTER OF MIAMI, INC. |
| Practice Address |
2901 Nw 17th Ave Miami FL 33142-6631 |
| Mailing Address |
Po Box 441206 Miami FL 33144-1206 |
| Practice Telephone | 3056333015 |
| Practice Fax Number | 3056349118 |
| Mailing Telephone | 3056333015 |
| Mailing Fax Number | 3056349118 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |
| Authorized Official Name | RICARDO L REGALADO (PRESIDENT) |
| Authorized Official Telephone | 3053980807 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | Other Service Providers |
| Street Address |
2901 NW 17TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33142-6631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730126186 | Qualmed of Miami, Inc. | Legal Medicine | 2901 Nw 17th Ave, Miami, FL 33142-6631 | 2006-06-01 |
| 1629296827 | Francisco M Martin | Pediatrics | 2901 Nw 17th Ave, Miami, FL 33142-6631 | 2007-04-23 |
| 1215083258 | Francisco E Cortes | Physician Assistant | 2901 Nw 17th Ave, Miami, FL 33142-6631 | 2007-01-25 |
| 1184667073 | Adelfa Diaz | Pediatrics | 2901 Nw 17th Ave, Miami, FL 33142-6631 | 2006-06-14 |
| 1851331227 | Raidel Oviedo | Internal Medicine | 2901 Nw 17th Ave, Miami, FL 33142-6631 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346861622 | Sofia Catena | Student in an Organized Health Care Education/Training Program | 1611 Nw 42nd Avenue, Miami, FL 33142 | 2020-04-28 |
| 1093334492 | Sentir Medical Center Inc. | Clinic/Center | 1493 Nw 54th St, Miami, FL 33142 | 2020-04-15 |
| 1700427481 | Suncare Therapy, Inc | Physical Therapist | 1251 Nw 36th Street, Miami, FL 33142 | 2019-10-03 |
| 1477070910 | Marcellas Holmes | Behavior Technician | 2500 Nw 59th St Apt B, Miami, FL 33142 | 2017-08-25 |
| 1992228605 | Mobility Medical Transport, Inc | Non-emergency Medical Transport (VAN) | 3590 Nw 49 St, Miami, FL 33142 | 2017-07-25 |
| 1184146540 | Antonio Javaun Davis | Counselor | 1469 Nw 36th Street, Miami, FL 33142 | 2017-07-07 |
| 1467992594 | Lissainet Diaz Sarduy | Behavior Technician | 2992 Nw 49 St, Miami, FL 33142 | 2017-03-08 |
| 1467800169 | Pharmacy Chevalier Inc | Durable Medical Equipment & Medical Supplies | 1553-55 Nw 36 Street, Miami, FL 33142 | 2016-06-03 |
| 1770958811 | Ray Miami Medical Center Corp | General Practice | 3900 Nw 36 St, 594, Miami, FL 33142 | 2015-12-01 |
| 1861861650 | Borinquen Health Care Center Inc | Clinic/Center | 2420 Nw 18 Avenue, Comstock Elementary, Miami, FL 33142 | 2015-09-22 |
| Find all providers in zip 33142 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699047159 | Lazaro A Cabrera | Legal Medicine | 5575 Sw 77th Ct Apt 204b, Miami, FL 33155-4318 | 2012-01-30 |
| 1891074084 | Wellmed Medical Center | Legal Medicine | 9621 Bird Rd, Miami, FL 33165-4030 | 2011-08-05 |
| 1326212267 | Idilio Ramos | Legal Medicine | 9745 Sw 72nd St Ste 114d, Miami, FL 33173-4620 | 2008-04-22 |
| 1033382387 | Around The Clock Medical Center of Liberty City Inc | Legal Medicine | 5935 Nw 12th Ave, Miami, FL 33127-1053 | 2008-04-08 |
| 1245402445 | Luis Miguel Penton | Legal Medicine | 3939 Nw 7th St Ste 206, Miami, FL 33126-5552 | 2008-03-27 |
| 1811196785 | Medchoice of Airport, L.L.C. | Legal Medicine | 3628 Nw 7th St, Miami, FL 33125-4069 | 2007-07-12 |
| 1588782338 | Ndnc Treatment Center, LLC | Legal Medicine | 7801 Coral Way Ste 102, Miami, FL 33155-6538 | 2007-03-27 |
| 1326173881 | Villoch Associates Md, Pa. | Legal Medicine | 2075 Sw 27th Ave Fl 1, Miami, FL 33145-2540 | 2007-02-23 |
| 1548306178 | Gabriel E Salloum Md Pa | Legal Medicine | 2 Ne 40th St, Suite 203, Miami, FL 33137-3551 | 2007-01-30 |
| 1174697478 | First Medical Center | Legal Medicine | 1800 Sw 1st St Ste 321, Miami, FL 33135-1964 | 2006-11-20 |
| 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.