COMPASSIONATE TRAUMA CARE (NPI# 1285195685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285195685 |
| Entity Type | Organization |
| Organization Name | COMPASSIONATE TRAUMA CARE |
| Practice Address |
14411 Commerce Way Ste 350 Miami Lakes FL 33016-1600 |
| Mailing Address |
9040 Nw 26th Pl Sunrise FL 33322-2827 |
| Practice Telephone | 3055308119 |
| Mailing Telephone | 9548501859 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MR. LUIS ANTONIO OTERO DESANTIAGO III (PRESIDENT) |
| Authorized Official Telephone | 9548501859 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
14411 COMMERCE WAY STE 350 |
| City | MIAMI LAKES |
| State | FL |
| Zip Code | 33016-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184912545 | Aileen Diez | Counselor | 14411 Commerce Way Ste 350, Miami Lakes, FL 33016-1600 | 2011-07-19 |
| 1811511686 | Balanced Therapy Minds, Inc | Behavioral Analyst | 14411 Commerce Way Ste 350, Miami Lakes, FL 33016-1600 | 2020-06-08 |
| 1326605908 | Luis Antonio Otero Desantiago IIi | Counselor | 14411 Commerce Way Ste 350, Miami Lakes, FL 33016-1600 | 2019-05-20 |
| 1154857498 | Rosa Barroso, Lmhc | Community/Behavioral Health | 14411 Commerce Way Ste 350, Miami Lakes, FL 33016-1600 | 2017-05-05 |
| 1063807535 | Rosa Barroso | Counselor | 14411 Commerce Way Ste 350, Miami Lakes, FL 33016-1600 | 2015-04-01 |
| 1861834319 | Anslie Merle Stark | Counselor | 14411 Commerce Way Ste 350, Miami Lakes, FL 33016 | 2013-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
| 1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
| 1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
| 1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
| 1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
| 1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
| 1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
| 1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
| 1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
| 1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
| Find all providers in zip 33016 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578179404 | Buena Vista Medical Center Inc | Clinic/Center | 14505 Commerce Way Ste 509, Miami Lakes, FL 33016-1529 | 2020-09-16 |
| 1568006435 | Fenix Care Services Corp | Clinic/Center | 14100 Palmetto Frntg Rd Ste 108, Miami Lakes, FL 33016-1568 | 2019-11-04 |
| 1588178180 | Academia Behavioral Consultants, LLC | Clinic/Center | 7485 Fairway Dr, Miami Lakes, FL 33014-7822 | 2017-11-20 |
| 1134511553 | Orion E, Inc | Clinic/Center | 5881 Nw 151st St Ste 105, Miami Lakes, FL 33014-2455 | 2015-02-23 |
| 1669492062 | Reflections Wellness Center Inc | Clinic/Center | 5753 Miami Lakes Dr E, Miami Lakes, FL 33014-2417 | 2006-07-20 |
| 1588275150 | Vytalyze Minds, Corp | Clinic/Center | 14125 Nw 80th Ave Ste 206, Miami Lakes, FL 33016-2351 | 2020-08-16 |
| 1427513993 | Behavioral Health Centers of Florida Inc | Clinic/Center | 8040 Nw 155th St, Miami Lakes, FL 33016-5880 | 2019-02-08 |
| 1215443627 | Bridge Behavioral Services Corp | Clinic/Center | 5979 Nw 151st St Ste 102i, Miami Lakes, FL 33014 | 2017-12-20 |
| 1124034798 | Trinity Cmhc Inc | Clinic/Center | 6175 Nw 153rd St, Suite 205, Miami Lakes, FL 33014-2435 | 2006-08-01 |
| 1578510129 | Life Beat Cmhc Inc | Clinic/Center | 6043 Nw 167th St, A-27, Miami Lakes, FL 33015-4326 | 2006-05-28 |
| Find all providers in MIAMI LAKES | ||||
| City | MIAMI LAKES |
| Zip Code | 33016 |
Please comment or provide details below to improve the information on COMPASSIONATE TRAUMA CARE.
| 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.