PRIMARY CARE AND EDUCATIONAL CENTER OF MIAMI (NPI# 1174995609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174995609 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE AND EDUCATIONAL CENTER OF MIAMI |
| Practice Address |
13055 Sw 42nd St 208 Miami FL 33175-3406 |
| Practice Telephone | 7865804752 |
| Practice Fax Number | 7865804761 |
| Mailing Telephone | 7865804752 |
| Mailing Fax Number | 7865804761 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |
| Authorized Official Name | EDDY MARCIAL (PRESIDENT) |
| Authorized Official Telephone | 7865804752 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
ARNP9231287 | FL | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ARNP9231287 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PERSONAL NPI AS A NURSE PRACTITIONER (NP) IC281 | IC281 | 01 |
| Street Address |
13055 SW 42ND ST 208 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622664 | John R Cintron | Psychiatry & Neurology | 13055 Sw 42nd St, Suite 210, Miami, FL 33175-3406 | 2005-07-08 |
| 1902271182 | Apollo Pain Care LLC | Pain Medicine | 13055 Sw 42nd St, Suite 105, Miami, FL 33175-3406 | 2015-12-14 |
| 1801279716 | Intermed Medical Research Center, Inc | Clinic/Center | 13055 Sw 42nd St, Suite: 103, Miami, FL 33175-3406 | 2015-07-09 |
| 1033546155 | Cosmetic Surgical Group, LLC | Clinic/Center | 13055 Sw 42nd St, Suite # 102, Miami, FL 33175-3406 | 2013-10-03 |
| 1669805461 | Premier Healthcare Consultants of Tampa Bay, Inc. | Clinic/Center | 13055 Sw 42nd St, Suite 108, Miami, FL 33175-3406 | 2013-08-15 |
| 1699013821 | Excel Medical & Therapy Services | General Practice | 13055 Sw 42nd St, Suite # 108, Miami, FL 33175-3406 | 2013-01-23 |
| 1467729483 | Georges N Saliba | Personal Emergency Response Attendant | 13055 Sw 42nd St, Suite 201, Miami, FL 33175-3406 | 2011-11-18 |
| 1245522937 | Ricardo E Presas Md Pa | General Practice | 13055 Sw 42nd St, Suite 101-102, Miami, FL 33175-3406 | 2011-05-12 |
| 1205004058 | Yava Medical Office Inc | Clinic/Center | 13055 Sw 42nd St, Suite 207, Miami, FL 33175-3406 | 2008-02-14 |
| 1588868913 | Basilio Garcia-sellek D O P A | Family Medicine | 13055 Sw 42nd St, Suite 103, Miami, FL 33175-3409 | 2007-06-11 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122337 | Life Line Medical Group Inc | Clinic/Center | 12595 Sw 137th Ave Ste 206, Miami, FL 33186-4221 | 2020-10-20 |
| 1699380329 | Premier Health System LLC | Clinic/Center | 12970 Sw 133rd Ct Ste A, Miami, FL 33186-5806 | 2020-09-10 |
| 1104441526 | Destiny Health and Wellness,llc | Clinic/Center | 14923 Nw 7th Ave, Miami, FL 33168-3107 | 2020-06-11 |
| 1609427202 | University Health Care Bird Road, Inc. | Clinic/Center | 13155 Sw 42nd St Ste 111, Miami, FL 33175-3428 | 2019-09-25 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1073007290 | Yaima Bonet, Arnp, Inc | Clinic/Center | 8080 W Flagler St Ste 2b, Miami, FL 33144-2100 | 2018-06-20 |
| 1902301658 | Family Medicine Home Visits Inc | Clinic/Center | 1898 Sw 27th Ave Ste 1, Miami, FL 33145-2445 | 2018-03-26 |
| 1639622293 | Jm Health Services Inc | Clinic/Center | 12707 Sw 225th St, Miami, FL 33170-4400 | 2016-08-01 |
| 1124476387 | Pmc Medical Management, LLC | Clinic/Center | 80 Sw 8th St Ste 2000, Miami, FL 33130-3038 | 2016-05-28 |
| 1073974838 | Professional Overweight Control | Clinic/Center | 1830 Nw 7th St Ste 1004, Miami, FL 33125-3569 | 2016-03-08 |
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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.