UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC (NPI# 1215959184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215959184 |
| Entity Type | Organization |
| Organization Name | UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC |
| Practice Address |
18004 Nw 6th St Ste 101 Pembroke Pines FL 33029-2823 |
| Practice Telephone | 9544339400 |
| Mailing Telephone | 9544339400 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-02-08 |
| Authorized Official Name | MR. ELMO ANGELO V. BARTOLOME (PRESIDENT) |
| Authorized Official Telephone | 9547706540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
18004 NW 6TH ST STE 101 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33029-2823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962987313 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 8100 Johnson St, Pembroke Pines, FL 33024-6734 | 2018-10-02 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1578975025 | Synergy Dialysis of Pembroke Pines, LLC | Clinic/Center | 20170 Pembroke Pines, Suite 110, Pembroke Pines, FL 33029-1202 | 2014-06-02 |
| 1245653450 | Aquanova Inc | Clinic/Center | 18004 Nw 6th St, 104, Pembroke Pines, FL 33029-2823 | 2014-01-23 |
| 1629335864 | Total Renal Care Inc | Clinic/Center | 10970 Pines Blvd # 70, Pembroke Pines, FL 33026-5208 | 2012-04-12 |
| 1275804031 | Palisades Dialysis LLC | Clinic/Center | 4400 W Hallandale Beach Blvd, Pembroke Pines, FL 33023-4332 | 2012-01-25 |
| 1104019447 | Johnson Dialysis Center LLC | Clinic/Center | 7769 Johnson St, Pembroke Pines, FL 33024-6856 | 2007-08-21 |
| 1871573451 | Pembroke Pines Artificial Kidney Center Inc | Clinic/Center | 12145 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2006-01-19 |
| 1538648407 | Kidney Doctor's Dialysis Centers | Clinic/Center | 12145 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2018-08-10 |
| 1700148632 | Professional Dialysis Center, LLC | Clinic/Center | 10021 Pines Blvd, Suite 201, Pembroke Pines, FL 33024-6194 | 2012-06-15 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33029 |
Please comment or provide details below to improve the information on UNIVERSAL KIDNEY CENTER OF PEMBROKE PINES-MIRAMAR LLC.
| 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.