POLICLINICO, INC. (NPI# 1386095636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386095636 |
| Entity Type | Organization |
| Organization Name | POLICLINICO, INC. |
| Practice Address |
11025 Sw 84th St Cottage 12 Miami FL 33173-3857 |
| Practice Telephone | 7865348080 |
| Practice Fax Number | 7862767008 |
| Mailing Telephone | 7865348080 |
| Mailing Fax Number | 7862767008 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |
| Authorized Official Name | MR. JORGE BRACERAS (PRESIDENT) |
| Authorized Official Telephone | 7863657979 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
11025 SW 84TH ST COTTAGE 12 |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-3857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944077 | Miami-dade Dept of Human Services | Day Training, Developmentally Disabled Services | 11025 Sw 84th St, Admin Bldg, Miami, FL 33173-3804 | 2005-07-07 |
| 1962930297 | Oga Rendon | Behavior Technician | 11025 Sw 84th St, Miami, FL 33173-3857 | 2017-05-31 |
| 1811423288 | Jennifer Riveras | Behavior Technician | 11025 Sw 84th St, Suite 8, Miami, FL 33173-3857 | 2017-05-04 |
| 1114452125 | Elizabeth Beatriz Aguirre | Behavior Technician | 11025 Sw 84th St, Suite 8, Miami, FL 33173-3857 | 2017-04-27 |
| 1700331733 | Taylor Sky Derris | Speech-Language Pathologist | 11025 Sw 84th St, Cottage 8, Miami, FL 33173-3857 | 2016-08-19 |
| 1174980171 | Carolyn Bonilla | Occupational Therapy Assistant | 11025 Sw 84th St, The Arc of Kendall #6, Miami, FL 33173 | 2016-01-21 |
| 1790150589 | Karina M Urraca | Physical Therapy Assistant | 11025 Sw 84th St, Cottages #6 & 7, Miami, FL 33173-3857 | 2015-12-06 |
| 1700258621 | Carolina Puig | Specialist/Technologist | 11025 Sw 84th St, Cottage 6 &7, Miami, FL 33173-3857 | 2015-10-30 |
| 1871961805 | Carpe Diem Academy Corporation | Counselor | 11025 Sw 84th St, Cottage 8, Miami, FL 33173-3857 | 2015-09-08 |
| 1164801866 | Systemic Wellness | Case Management | 11025 Sw 84th St, Cottage 12, Miami, FL 33173-3857 | 2015-05-27 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| 1942815774 | Mocasa Wellness Center Inc | General Practice | 330 Sw 27th Ave Ste 506, Miami, FL 33135-2967 | 2020-09-09 |
| 1316550163 | Asela Infante Suarez | General Practice | 13450 Sw 97th Ct, Miami, FL 33176-6105 | 2020-08-30 |
| 1740890607 | Serenity Community Mental Healthcare, LLC | General Practice | 10300 Sw 72nd St Ste 250, Miami, FL 33173-3014 | 2020-08-05 |
| 1144841776 | Simplify Home Health Pllc | General Practice | 3301 Ne 1st Ave Apt 2906, Miami, FL 33137-4174 | 2020-05-05 |
| 1104447804 | Dr Jean Pierre LLC | General Practice | 5050 Biscayne Blvd, Miami, FL 33137-3203 | 2020-05-04 |
| 1891316105 | Jorge Luis Vega Morales | General Practice | 14760 Sw 66th St, Miami, FL 33193-2039 | 2020-04-28 |
| 1518587203 | Premium Healthcare Holdings, Lllp | General Practice | 2400 Sw 69th Ave, Miami, FL 33155-1706 | 2020-04-22 |
| 1770118416 | Guido A.perez, M.d., Inc. | General Practice | 701 Nw 57th Ave Ste 260, Miami, FL 33126-2083 | 2020-03-03 |
| 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.