WOUND TECHNOLOGY NETWORK (NPI# 1265737399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265737399 |
| Entity Type | Organization |
| Organization Name | WOUND TECHNOLOGY NETWORK |
| Other Organization Name | NO |
| Practice Address |
19736 Sw 130th Avenue Rd Miami FL 33177-4010 |
| Practice Telephone | 7864176012 |
| Mailing Telephone | 7864176012 |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |
| Authorized Official Name | MRS. MORAIMA RODRIGUEZ (NURSE PRACTITIONER) |
| Authorized Official Telephone | 7864176012 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | ARNP9267311 | FL | Student, Health Care |
| Other Name | Type Code |
|---|---|
| no | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730443821 | Wound Technology Network | Nurse Practitioner | 3440 Hollywood Blvd, Suite 460, Hollywood, FL 33021-6927 | 2012-07-03 |
| 1831397041 | Wound Technology Network | Podiatrist | 3440 Hollywood Blvd, Suite 460, Hollywood, FL 33021-6927 | 2007-07-10 |
| Street Address |
19736 SW 130TH AVENUE RD |
| City | MIAMI |
| State | FL |
| Zip Code | 33177-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396369351 | Damaris Perez Bobey | Behavior Technician | 13755 Sw 181 St, Miami, FL 33177 | 2020-06-04 |
| 1881232221 | South Kendall Dentistry, Pa | Dentist | 15201 Sw 127th Ave., Suite 3, Miami, FL 33177 | 2019-12-17 |
| 1538710314 | Angela Moreno | Behavior Technician | 20155 Sw 129 Ave, Miami, FL 33177 | 2019-09-24 |
| 1811473317 | Life Residential LLC | Assisted Living Facility | 13431 S.w. 178 St., Miami, FL 33177 | 2018-07-17 |
| 1639655863 | Jose Martin Jacobo Remedios | Non-emergency Medical Transport (VAN) | 11825 Sw 208th Ter, Miami, FL 33177 | 2018-07-11 |
| 1497258867 | Yanet Arias Ramirez | Behavior Technician | 12301 Sw 191 St, Miami, FL 33177 | 2018-03-13 |
| 1558876003 | Dalina Maria Blanco I | Behavior Technician | 15982 Sw 138th Ct, Miami, FL 33177 | 2017-12-06 |
| 1679082119 | Esperanza's Alf, Inc. | Assisted Living Facility | 14336 Sw 172 St., Miami, FL 33177 | 2017-09-27 |
| 1720506553 | Ledys Cagigas | Behavioral Analyst | 14430 Sw 180th St, Miami, FL 33177 | 2017-08-31 |
| 1073031043 | Mary Celeste Da Gama-freites | Behavior Technician | 13249 Sw 200 Terrace, Miami, FL 33177 | 2017-08-30 |
| Find all providers in zip 33177 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011013 | Aldo Menendez Arcia | Student in an Organized Health Care Education/Training Program | 12250 Nw 8th St, Miami, FL 33182-2421 | 2020-10-21 |
| 1285233403 | Angel Rose Picart | Student in an Organized Health Care Education/Training Program | 12741 Sw 108th St, Miami, FL 33186-3514 | 2020-10-19 |
| 1801494166 | Jason Duran | Student in an Organized Health Care Education/Training Program | 1457 Nw 50th St, Miami, FL 33142-4161 | 2020-10-09 |
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1457958662 | Cristian Perez | Student in an Organized Health Care Education/Training Program | 3060 Nw 96th St, Miami, FL 33147-2353 | 2020-10-01 |
| 1659988509 | Karen Hernandez | Student in an Organized Health Care Education/Training Program | 3871 Sw 147th Ave Apt 5, Miami, FL 33185-4006 | 2020-09-24 |
| 1255948329 | Joel Emilio Diaz-portorreal | Student in an Organized Health Care Education/Training Program | 14727 Sw 112th Ter, Miami, FL 33196-3326 | 2020-09-23 |
| 1205442043 | Elizabeth Granado | Student in an Organized Health Care Education/Training Program | 14293 Sw 145th Pl, Miami, FL 33186-6787 | 2020-09-17 |
| 1598370678 | Christian Marcos | Student in an Organized Health Care Education/Training Program | 2930 Sw 93rd Ct, Miami, FL 33165-3147 | 2020-09-15 |
| 1255944658 | Tali Epelbaum | Student in an Organized Health Care Education/Training Program | 3105 Ne 210th Ter, Miami, FL 33180-3911 | 2020-08-25 |
| 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.