EXCEL MEDICAL DIAGNOSTICS 2 INC (NPI# 1326509779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326509779 |
Entity Type | Organization |
Organization Name | EXCEL MEDICAL DIAGNOSTICS 2 INC |
Practice Address |
941 N Krome Ave Homestead FL 33030-4408 |
Practice Telephone | 7864093203 |
Practice Fax Number | 7863998030 |
Mailing Telephone | 7864093203 |
Mailing Fax Number | 7863998030 |
Enumeration Date | 2019-03-28 |
Last Update Date | 2019-03-28 |
Authorized Official Name | MS. ANA LAURA CRUZ (OFFICE MANAGER) |
Authorized Official Telephone | 7864093203 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUE CROSS | 25957 | 01 |
FL | 66905 | 05 |
Other Name | Type Code |
---|---|
Excel Medical Diagnostics 2 inc | Former Legal Business Name - Organization |
Street Address |
941 N KROME AVE |
City | HOMESTEAD |
State | FL |
Zip Code | 33030-4408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336195403 | Richard S Glosser | Orthopaedic Surgery | 941 N Krome Ave, Homestead, FL 33030-4408 | 2006-05-26 |
1790934974 | Eric Lee Brano | Occupational Therapist | 941 N Krome Ave, Homestead, FL 33030-4408 | 2008-09-12 |
1114110046 | Maria Alicia Castellon | Speech-Language Pathologist | 941 N Krome Ave, Homestead, FL 33030-4408 | 2007-08-23 |
1912053901 | Diana L Perry | Occupational Therapist | 941 N Krome Ave, Homestead, FL 33030-4408 | 2007-01-25 |
1154480218 | Rafael Sanchez | Physician Assistant | 941 N Krome Ave, Homestead, FL 33030-4408 | 2006-12-06 |
1215034582 | On-site Therapy & Educational Training | Specialist/Technologist | 941 N Krome Ave, Homestead, FL 33030-4408 | 2006-09-20 |
1710992318 | Richard S Glosser Md Pa | Orthopaedic Surgery | 941 N Krome Ave, Homestead, FL 33030-4408 | 2006-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619515871 | Clinica Las Mercedes Vi, Inc | Clinic/Center | 290 Ne 8 Street, Homestead, FL 33030 | 2019-12-18 |
1770124331 | Md Now Medical Centers Inc | Clinic/Center | 729 S Homestead Blvd, Homestead, FL 33030 | 2019-10-04 |
1437611787 | Yevgeniy Mailyan | Behavior Technician | 1513 Sw 2nd Court, Homestead, FL 33030 | 2019-04-04 |
1144789306 | Special Delivery Health Center, LLC | Midwife | 123 N. Krome Avenue, Suite 101, Homestead, FL 33030 | 2019-03-18 |
1144718578 | Galovin Solutions Inc | Behavioral Analyst | 50 Nw 15th St Ste 111, Homestead, FL 33030 | 2018-05-01 |
1003332073 | Juan C Gonzalez Ibarra | Behavior Technician | 800 Ne 12th Ave Apt# C214, Homestead, FL 33030 | 2017-08-21 |
1023534757 | Lunilda L Mcvay | Psychologist | 151 Nw 11st St Suite W-201, Monarch All Health, LLC, Homestead, FL 33030 | 2017-08-15 |
1295250025 | Clara L Perez | Behavior Technician | 800 Ne 12th Ave Apt# L256, Homestead, FL 33030 | 2017-08-14 |
1205350535 | Charity's Homemaker Companion Services, LLC | Homemaker | 30855 Sw 205 Ave, Homestead, FL 33030 | 2017-07-28 |
1003346693 | Yanet Rodriguez Sardinas | Behavioral Analyst | 906 Nw 3rd Ave, Homestead, FL 33030 | 2017-06-15 |
Find all providers in zip 33030 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336708478 | Ramiro Rodriguez | General Practice | 290 Ne 8th St, Homestead, FL 33030-4710 | 2019-06-12 |
1720482656 | Homeland Health Solutions, Inc | General Practice | 445 N Krome Ave, Homestead, FL 33030-6040 | 2014-10-21 |
1003157017 | Tomas Wharton | General Practice | 311 Ne 8th St Ste 110, Homestead, FL 33030-4734 | 2013-03-15 |
1265780514 | Jorge Adalberto Aguilar | General Practice | 19000 Sw 377th. Street, Dade Correctional Institution, Homestead, FL 33034 | 2012-08-16 |
1043531304 | Eddunio Gomez M.d. P.a. | General Practice | 17 Ne 9th Ct, Homestead, FL 33030-4611 | 2010-06-21 |
1487859245 | Homestead Medical Clinic, P.a | General Practice | 43 Ne 15th St, Homestead, FL 33030-4506 | 2007-06-20 |
1508901521 | Jorge Rafael Delgado | General Practice | 19000 Sw 377th St, Homestead, FL 33034 | 2007-02-20 |
1245381052 | M F Fernandez Md Kelly Medical Center Co Inc | General Practice | 29613 Sw 162nd Ave, Homestead, FL 33033-3328 | 2007-01-16 |
1518060409 | Jose O De Los Santos | General Practice | 120 N.w. 12 St., Homestead, FL 33030 | 2006-09-06 |
1669481487 | Milady Belisa Fernandez | General Practice | 38 Nw 8th St, Homestead, FL 33030 | 2006-08-08 |
Find all providers in HOMESTEAD |
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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.