MR. MARIO F LANDERA (NPI# 1326169095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326169095 |
| Entity Type | Individual |
| Full Name | MR. MARIO F LANDERA |
| Credential | ARNP |
| Practice Address |
13400 Sw 120th St Ste 300a Miami FL 33186 |
| Mailing Address |
15032 Sw 65th Ter Miami FL 33193-2009 |
| Practice Telephone | 3052217235 |
| Mailing Telephone | 3052466846 |
| Mailing Fax Number | 3052466963 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2018-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1232072 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9760 Sw 344th St, Homestead, FL 330351800 | 3052466846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942300421 | Mario Alberto Landera | Speech-Language Pathologist | 1201 Nw 16th St, Audiology Service, Mail Code: 126, Miami, FL 33125-1624 | 2006-09-24 |
| Street Address |
13400 SW 120TH ST STE 300A |
| City | MIAMI |
| State | FL |
| Zip Code | 33186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144219270 | Kenneth David Hershman | Family Medicine | 13400 Sw 120th St Ste 300a, Miami, FL 33186 | 2005-10-20 |
| 1457361909 | Hershman Medical Center, P.a. | Internal Medicine | 13400 Sw 120th St Ste 300a, Miami, FL 33186-7441 | 2006-08-08 |
| 1104803733 | Lloyd Steven Hershman | Family Medicine | 13400 Sw 120th St Ste 300a, Miami, FL 33186 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1477167799 | Yanet Moreda Mendez | Nurse Practitioner | 14433 Sw 107th Ter, Miami, FL 33186-2938 | 2020-09-03 |
| 1386285732 | Addys Lisette Santos Hernandez | Nurse Practitioner | 11031 Sw 51st Ter, Miami, FL 33165-6902 | 2019-10-07 |
| 1649736745 | Marie Aliene Jusma | Nurse Practitioner | 1095 Nw 110th Street, House, Miami, FL 33168 | 2019-02-13 |
| 1306301635 | Wellspring Preservation Medical Vacation Boutique & Spa, LLC | Nurse Practitioner | 14051 Sw 152nd Ter, Miami, FL 33177-0910 | 2019-01-31 |
| 1174005250 | Julieth Andrea Rave | Nurse Practitioner | 3663 S Miami Ave Ste 209, Miami, FL 33133-4253 | 2018-09-05 |
| 1245712686 | Donna O Martinez | Nurse Practitioner | 16543 Sw 59th Ter, Miami, FL 33193-5686 | 2018-09-01 |
| 1033695465 | Carolina Elena Navarro | Nurse Practitioner | 353 Sw 23rd Rd, Miami, FL 33129-1923 | 2018-07-18 |
| 1528554003 | Ernesto Gregorio Napoles | Nurse Practitioner | 14909 Sw 80th St Apt 204, Miami, FL 33193-3149 | 2018-07-08 |
| 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.