ULISES D FERNANDEZ MIRO (NPI# 1184670333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184670333 |
| Entity Type | Individual |
| Full Name | ULISES D FERNANDEZ MIRO |
| Credential | MD |
| Practice Address |
1874 Se Port St Lucie Blvd Port St Lucie FL 34952-5545 |
| Mailing Address |
1149 San Michele Way Palm Beach Gardens FL 33418-6704 |
| Practice Telephone | 7723377676 |
| Practice Fax Number | 7723379034 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2011-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | ME0076116 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE | 050088996 | 01 |
| FL | 254498900 | 05 | |
| FL | BCBS FLORIDA | 43618 | 01 |
| Street Address |
1874 SE PORT ST LUCIE BLVD |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-5545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659339166 | Elizabeth A Campbell | Nurse Anesthetist, Certified Registered | 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2006-05-03 |
| 1720163983 | Gregory Scott Taylor | Social Worker | 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2006-10-26 |
| 1568494391 | David Edward Bean | Anesthesiology | 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2006-07-06 |
| 1992743256 | Sharon Walter | Nurse Anesthetist, Certified Registered | 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2006-06-02 |
| 1588602726 | Robert J Bastian | Anesthesiology | 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2006-06-02 |
| 1528005857 | Steven G Cooper | Nurse Anesthetist, Certified Registered | 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2006-06-02 |
| 1659327732 | Teresa A Kinsey | Nurse Anesthetist, Certified Registered | 1874 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5545 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043523152 | Interventional & Integrative Pain | Anesthesiology | 8513 S Us Highway 1, Ste 4, Port St Lucie, FL 34952-3346 | 2010-07-18 |
| 1982875621 | Antonio Poto Jr. | Anesthesiology | 8491 S Us Highway 1, Port St Lucie, FL 34952-3360 | 2008-03-21 |
| 1740235878 | Keith E Ingram | Anesthesiology | 6830 S Us Highway 1, Port St Lucie, FL 34952-1410 | 2006-05-24 |
| 1013974450 | Jay Kuchera | Anesthesiology | 10244 S Us Highway 1, Port St Lucie, FL 34952-5615 | 2006-04-28 |
| 1114929031 | James Michael D'amato | Anesthesiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2005-08-11 |
| 1972163533 | Blue Water Anesthesia Services | Anesthesiology | 6830 S Us Highway 1, Port St Lucie, FL 34952-1410 | 2019-06-17 |
| 1477971802 | Loel Scott Warsch | Anesthesiology | 10244 S Us Highway 1, Port St Lucie, FL 34952-5615 | 2014-04-02 |
| 1811135585 | Gregory Scott Francis | Anesthesiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2009-02-03 |
| 1700044252 | St Lucie Anesthesia Associates LLC | Anesthesiology | 1800 Se Tiffany Ave, Port St Lucie, FL 34952 | 2008-05-30 |
| 1770756256 | East Coast Anesthesia Associates Pa | Anesthesiology | 6830 S Us Highway 1, Port St Lucie, FL 34952-1410 | 2008-04-07 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
Please comment or provide details below to improve the information on ULISES D FERNANDEZ MIRO.
| 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.