PROMED HEALTHCARE CLINIC LLC (NPI# 1285298521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285298521 |
| Entity Type | Organization |
| Organization Name | PROMED HEALTHCARE CLINIC LLC |
| Practice Address |
9380 Sw 72nd St Suite B240 Miami FL 33173-5483 |
| Practice Telephone | 6056398095 |
| Practice Fax Number | 3053920775 |
| Mailing Telephone | 6056398095 |
| Mailing Fax Number | 3053920775 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | MRS. MAGALY PASCAL TRAVIESO (CEO) |
| Authorized Official Telephone | 7865801859 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ARNP9240892 | T612540715810 | 01 |
| Street Address |
9380 SW 72ND ST SUITE B240 |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-5483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821081100 | Cybermed Diagnostic Lab | Clinic/Center | 9380 Sw 72nd St, Miami, FL 33173-3276 | 2005-08-23 |
| 1508343492 | Magaly Travieso | Nurse Practitioner | 9380 Sw 72nd St, Ste B240, Miami, FL 33173-5483 | 2018-07-24 |
| 1457895120 | Kristy Houck | Social Worker | 9380 Sw 72nd St, Suite B 238, Miami, FL 33173-3276 | 2016-12-14 |
| 1699024810 | Sunrise Home Care Inc. | Home Health | 9380 Sw 72nd St, Suite B140, Miami, FL 33173-3276 | 2012-09-04 |
| 1811283435 | Giraldo Caraballo | Registered Nurse | 9380 Sw 72nd St, Suite B140, Miami, FL 33173-3276 | 2011-06-22 |
| 1174759401 | Carla Bang | Social Worker | 9380 Sw 72nd St, Miami, FL 33173-3276 | 2009-06-01 |
| 1770721706 | Priority Home Health Care, Inc. | Home Health | 9380 Sw 72nd St, Suite# B-207, Miami, FL 33173-3276 | 2009-01-29 |
| 1972784569 | Jose E Marmol | Counselor | 9380 Sw 72nd St, Suite B-120, Miami, FL 33173-3276 | 2007-11-24 |
| 1780880740 | Ana Alberdi | Counselor | 9380 Sw 72nd St, Suite B-120, Miami, FL 33173-5454 | 2007-06-26 |
| 1477764686 | Elisabeth A. Montouri | Social Worker | 9380 Sw 72nd St, Suite B-120, Miami, FL 33173-3276 | 2007-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374613 | Derrick George Dyer | Behavioral Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
| 1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
| 1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
| 1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
| 1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
| 1447760749 | Irfan Saeed | Nurse Practitioner | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
| 1619491339 | Malciel Bonilla | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
| 1144744467 | Yoislan Daniel Daniel | Behavioral Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
| 1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
| 1215478276 | Leonel Diaz Rapado | Behavior Technician | 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 | 2017-03-10 |
| Find all providers in zip 33173 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932992 | Dfd Therapy Services LLC | Community/Behavioral Health | 2742 Sw 8th St Ste 8, Miami, FL 33135-4636 | 2020-11-07 |
| 1952902611 | Tallon Medical Center Inc | Community/Behavioral Health | 5600 Sw 135th Ave Ste 110, Miami, FL 33183-5125 | 2020-11-07 |
| 1356942288 | Sol Community Center, Corp | Community/Behavioral Health | 8550 W Flagler St Ste 118, Miami, FL 33144-2037 | 2020-11-06 |
| 1538769534 | Psycare LLC | Community/Behavioral Health | 10740 W Flagler St Ste 112, Miami, FL 33174-4405 | 2020-10-28 |
| 1073112603 | San Miguel Community Wellness Center LLC | Community/Behavioral Health | 12030 Sw 129th Ct Ste 206, Miami, FL 33186-4584 | 2020-10-24 |
| 1285233940 | Torna Medical Center Inc | Community/Behavioral Health | 7910 Nw 25th St Ste 205, Miami, FL 33122-1622 | 2020-10-22 |
| 1760081640 | V & L Medical Center LLC | Community/Behavioral Health | 10300 Sw 72nd St Ste 282, Miami, FL 33173-3035 | 2020-10-21 |
| 1881293702 | Aloma Behavior LLC | Community/Behavioral Health | 3399 Nw 72nd Ave Ste 210, Miami, FL 33122-1343 | 2020-10-21 |
| 1154920379 | Paradise Community Center Inc | Community/Behavioral Health | 4995 Nw 72nd Ave Ste 308, Miami, FL 33166-5643 | 2020-10-19 |
| 1720686249 | Brighter Days Aba Therapy Corp. | Community/Behavioral Health | 12247 Sw 17th Ln Apt 108, Miami, FL 33175-1582 | 2020-10-16 |
| 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.