UROLOGY SPECIALTY CARE OF MIAMI, LLC (NPI# 1336481969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336481969 |
| Entity Type | Organization |
| Organization Name | UROLOGY SPECIALTY CARE OF MIAMI, LLC |
| Practice Address |
7600 Sw 87th Ave Suite 206 Miami FL 33173-3601 |
| Mailing Address |
3225 Aviation Ave Suite 700 Miami FL 33133-4741 |
| Practice Telephone | 3057255525 |
| Practice Fax Number | 3052750662 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-21 |
| Authorized Official Name | COSME GOMEZ (PHYSICIAN) |
| Authorized Official Telephone | 3052755525 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | VITALMD GROUP HOLDING, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | Pharmacy Service Providers |
| Street Address |
7600 SW 87TH AVE SUITE 206 |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932184207 | Jessica Lopez Gomez | Nurse Anesthetist, Certified Registered | 7600 Sw 87th Ave, Miami, FL 33173-3601 | 2005-12-09 |
| 1184184673 | Miavip Medical Staffing,llc | Anesthesiology | 7600 Sw 87th Ave, Miami, FL 33173-3601 | 2019-03-21 |
| 1154788966 | Gabriella Cristina Pohudka | Physician Assistant | 7600 Sw 87th Ave, #206, Miami, FL 33173-3601 | 2016-01-25 |
| 1538583562 | Adriana Marie Hernandez | Physician Assistant | 7600 Sw 87th Ave, Suite 206, Miami, FL 33173-3601 | 2014-02-11 |
| 1780964254 | Angela Marie Overton | Physician Assistant | 7600 Sw 87th Ave, Suite 206, Miami, FL 33173-3601 | 2011-08-27 |
| 1043516818 | Carolyn Ashley Presby | Physician Assistant | 7600 Sw 87th Ave, Suite #206, Miami, FL 33173-3601 | 2011-01-26 |
| 1548414816 | Miami Kendall Fl Endoscopy Asc LLC | Clinic/Center | 7600 Sw 87th Ave, Miami, FL 33173-3505 | 2008-11-12 |
| 1013111491 | Yekutiel Sandman | Urology | 7600 Sw 87th Ave, Suite 206, Miami, FL 33173-3601 | 2007-06-12 |
| 1578663670 | Susana M Airala | Nurse Anesthetist, Certified Registered | 7600 Sw 87th Ave, Suite 200, Miami, FL 33173-3601 | 2006-09-25 |
| 1669412417 | Julio Robla Md Pa | Non-Pharmacy Dispensing Site | 7600 Sw 87th Ave, Suite 102, Miami, FL 33173-3601 | 2006-06-08 |
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| 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 |
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| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421769 | Carla Stephanie Duque | Pharmacist | 1420 Nw North River Dr, Miami, FL 33125-2888 | 2020-09-10 |
| 1700497609 | Cheryl Lynn Pollack | Pharmacist | 1475 Nw 12th Ave Ste 203, Miami, FL 33136-1002 | 2020-08-13 |
| 1144830415 | Raul Roberto Castillo Santibanez | Pharmacist | 11311 Sw 40th Ter, Miami, FL 33165-4603 | 2020-08-03 |
| 1427671213 | Yisel Aguilar | Pharmacist | 10501 Sw 144th Ct, Miami, FL 33186-2921 | 2020-05-27 |
| 1134763733 | Ideris Maya | Pharmacist | 15885 Sw 88th St, Miami, FL 33196-1003 | 2019-11-06 |
| 1881238426 | Ruben Rafael Santana | Pharmacist | 2385 Ne 187th St, Miami, FL 33180-2723 | 2019-11-06 |
| 1942841655 | Eida J Alvarez | Pharmacist | 10332 W. Flager St., Miami, FL 33174 | 2019-10-03 |
| 1558912089 | Florence P Paul | Pharmacist | 440 Ne 147th Ter, Miami, FL 33161-2131 | 2019-09-25 |
| 1902452915 | Nardelys Rondon Santander | Pharmacist | 14341 Sw 62nd St, Miami, FL 33183-1905 | 2019-08-15 |
| 1285297721 | Alexandru Virjoghe | Pharmacist | 17013 Sw 92nd St, Miami, FL 33196-4725 | 2019-04-19 |
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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.