LYLE KUNZ (NPI# 1306987276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306987276 |
| Entity Type | Individual |
| Full Name | LYLE KUNZ |
| Credential | A.B., M.D. |
| Practice Address |
22790 Sw 112th Ave Miami FL 33170-7602 |
| Practice Telephone | 3052352616 |
| Practice Fax Number | 3052356178 |
| Mailing Telephone | 3052352616 |
| Mailing Fax Number | 3052356178 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
ME 7908 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
22790 SW 112TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33170-7602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629089677 | Joshua Paul Werblin | Psychiatry & Neurology | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2006-08-11 |
| 1104472877 | Julie Ann Featherman | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2019-08-17 |
| 1730697129 | Tiffany E Montero | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2018-01-19 |
| 1295249118 | Yahaira Santana | Behavior Technician | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2017-11-30 |
| 1811408487 | Stephaney Ottey-williams | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2017-10-23 |
| 1447614581 | Silvia P Reyes | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2016-04-05 |
| 1164886206 | Melissa Ortega | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2016-04-05 |
| 1144684283 | Jean Rasquin | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2016-04-05 |
| 1861856908 | Rachel Amezcua | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2016-04-05 |
| 1619339330 | Yanaika Villarreal | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2016-03-22 |
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|---|---|---|---|---|
| 1972117224 | Beautiful Minds Medical Center LLC | Clinic/Center | 11045 Sw 216th Street, Unit 6, Miami, FL 33170 | 2020-09-03 |
| 1801414214 | Maria Del Carmen Acosta | Behavior Technician | 11270 Sw 219 St, Miami, FL 33170 | 2020-07-13 |
| 1912540857 | Ryan David Moore | Military Health Care Provider | Montereale 24, Aviano, PORDENONE 33170 | 2019-10-23 |
| 1982171633 | Arc Dialysis Perrine LLC | Clinic/Center | 22165 S Dixie Hwy, Miami, FL 33170 | 2018-10-31 |
| 1376019059 | Pw Group Home Inc. | Clinic/Center | 22931 Sw 114 Path, Miami, FL 33170 | 2018-10-19 |
| 1679062814 | Interdisciplinary Healthcare Services LLC | Assisted Living Facility | 12751 Sw 226 Street, Miami, FL 33170 | 2018-05-03 |
| 1861925836 | Aida Marmol | Behavior Technician | 23065 Sw 113 Passage, Miami, FL 33170 | 2017-04-06 |
| 1518404706 | Jessica Laurent | Nurse Practitioner | 13262 Sw 216 Terrace, Miami, FL 33170 | 2017-01-25 |
| 1871943266 | Dannisa Olafsen | Behavior Technician | 22851 Sw 157th Ave, Miami, FL 33170 | 2016-06-15 |
| 1639526262 | Priscilla Ruiz | Assistant Behavior Analyst | 22655 Sw 127th Ct, Miami, FL 33170 | 2016-05-24 |
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| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1083871784 | Julio Cesar Castro Gayol | Psychiatry & Neurology | 7171 Sw 24th St, Suite 104, Miami, FL 33155-1449 | 2008-05-20 |
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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.