DR. JEANNE-ELYSE GRAY CEDENO (NPI# 1184867202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184867202 |
| Entity Type | Individual |
| Full Name | DR. JEANNE-ELYSE GRAY CEDENO |
| Other Name | DR. JEANNE ELYSE GRAY |
| Credential | M.D. |
| Practice Address |
1601 N Palm Ave Suite102 Pembroke Pines FL 33026-3200 |
| Practice Telephone | 7542736278 |
| Practice Fax Number | 9543746954 |
| Mailing Telephone | 7542736278 |
| Mailing Fax Number | 9543746954 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2013-01-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME 106978 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | BP10030078 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004106900 | 05 | |
| CAQH | 12239368 | 01 |
| Street Address |
1601 N PALM AVE SUITE102 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386646966 | Juan Carlos Rodriguez | Internal Medicine | 1601 N Palm Ave, Suite 109, Pembroke Pines, FL 33026-3240 | 2005-08-12 |
| 1740638717 | Greenlife Intensive Outpatient Program, LLC | Clinic/Center | 1601 N Palm Ave, Suite 106, Pembroke Pines, FL 33026-3200 | 2016-05-31 |
| 1609244128 | Svm Counseling Corp. | Social Worker | 1601 N Palm Ave, Suite 311c, Pembroke Pines, FL 33026-3200 | 2015-09-15 |
| 1952784225 | Carmen Cornide, Psy.d., P.a. | Psychologist | 1601 N Palm Ave, Suite 300, Pembroke Pines, FL 33026-3200 | 2015-07-06 |
| 1760864219 | Addys Prieto Psyd Pa | Psychologist | 1601 N Palm Ave, Suite 300, Pembroke Pines, FL 33026-3200 | 2015-06-22 |
| 1588057475 | Suzanne Milano | Social Worker | 1601 N Palm Ave, Suite 311c, Pembroke Pines, FL 33026-3200 | 2015-03-17 |
| 1841628864 | Alejandro Del Calvo | Counselor | 1601 N Palm Ave, Pembroke Pines, FL 33026-3200 | 2013-10-30 |
| 1003175308 | Efrain Mendez, Md Pa | Psychiatry & Neurology | 1601 N Palm Ave, Suite 110a, Pembroke Pines, FL 33026-3200 | 2012-05-08 |
| 1235423120 | Jeanne-elyse Cedeno M.d., P.a. | Family Medicine | 1601 N Palm Ave, Suite 102-b, Pembroke Pines, FL 33026-3200 | 2011-06-08 |
| 1891015830 | Austin Mautner | Dentist | 1601 N Palm Ave, Ste #104, Pembroke Pines, FL 33026-3200 | 2010-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535968 | Staniesha Rodriguez | Family Medicine | 4341 Sw 114th Ter Apt 8406, Pembroke Pines, FL 33025-6644 | 2020-10-14 |
| 1508472937 | Ericka Cheriska | Family Medicine | 900 Sw 125th Way Apt R210, Pembroke Pines, FL 33027-6717 | 2020-09-21 |
| 1629600713 | Maricha Fanega Delacruz-tuason | Family Medicine | 829 Sw 158th Ter, Pembroke Pines, FL 33027-5002 | 2020-02-07 |
| 1407403538 | Yennet Llanes | Family Medicine | 565 Nw 157th Ln, Pembroke Pines, FL 33028-1536 | 2019-08-22 |
| 1366956393 | Claudia Gonzalez | Family Medicine | 293 Sw 179th Ave, Pembroke Pines, FL 33029-3904 | 2017-11-29 |
| 1396258083 | Line Medical Center Inc | Family Medicine | 9050 Pines Blvd Ste 190, Pembroke Pines, FL 33024-6445 | 2017-11-16 |
| 1073963542 | Comprehensive Medical Access ( Cma ) Inc | Family Medicine | 6830 Pines Blvd, Pembroke Pines, FL 33024-7545 | 2016-06-15 |
| 1144601584 | Shukshin Ng | Family Medicine | 626 Sw 106th Ave, Pembroke Pines, FL 33025-6908 | 2015-06-11 |
| 1497174981 | Garcia-juarbe Medical | Family Medicine | 1473 Sw 116th Ave, Pembroke Pines, FL 33025-3771 | 2014-04-10 |
| 1720379753 | Sergio Guiteau | Family Medicine | 1 Sw 129th Ave Ste 205, Pembroke Pines, FL 33027 | 2011-04-25 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on DR. JEANNE-ELYSE GRAY CEDENO.
| 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.