MAIN STREET CHILDREN'S DENTISTRY AT PALMETTO HOSPITAL, PA (NPI# 1386756641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386756641 |
| Entity Type | Organization |
| Organization Name | MAIN STREET CHILDREN'S DENTISTRY AT PALMETTO HOSPITAL, PA |
| Practice Address |
7150 W 20 Ave Suite 103 Hialeah FL 33016 |
| Mailing Address |
13195 Sw 134 St 2nd Floor Miami FL 33186 |
| Practice Telephone | 3055569020 |
| Mailing Telephone | 3052742499 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-08-21 |
| Authorized Official Name | STEPHANIE GOMEZ (PROVIDER RELATIONS) |
| Authorized Official Telephone | 3052742499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
7150 W 20 AVE SUITE 103 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720022635 | Hector Luis Fernandez | Obstetrics & Gynecology | 7150 W 20 Ave, Suite 202, Hialeah, FL 33016-5509 | 2006-06-15 |
| 1568581130 | Wendy Reiss Rothfield | Social Worker | 7150 W 20 Ave, #315, Hialeah, FL 33016 | 2007-03-28 |
| 1043323587 | Palm Dental Center, Pa | Dentist | 7150 W 20 Ave, Suite 102, Hialeah, FL 33016 | 2006-08-17 |
| 1740214337 | Gonzalez Abreu and Fernandez Md Pa | Obstetrics & Gynecology | 7150 W 20 Ave, Suite 202, Hialeah, FL 33016-5509 | 2006-07-10 |
| 1205872314 | Rolando Gonzalez | Obstetrics & Gynecology | 7150 W 20 Ave, Suite 202, Hialeah, FL 33016-5509 | 2006-06-20 |
| 1114963220 | Jose Jesus Abreu | Obstetrics & Gynecology | 7150 W 20 Ave, Suite 202, Hialeah, FL 33016-5509 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
| 1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
| 1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
| 1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
| 1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
| 1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
| 1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
| 1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
| 1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
| 1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
| Find all providers in zip 33016 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922236033 | Anahi Amarfis Garcia-labori | Dentist | 4410 W 16th Ave Ste 50, Hialeah, FL 33012-7193 | 2009-06-26 |
| 1063659811 | Zulima Munoz | Dentist | 7150 W 20th Ave Ste 300, Hialeah, FL 33016-5531 | 2009-01-15 |
| 1154490373 | Ania Cabrerizo | Dentist | 4410 W 16 Ave #52, Hialeah, FL 33012 | 2006-11-06 |
| 1467540591 | Aicmee Martinez | Dentist | 7150 W 20th Ave Ste 103, Hialeah, FL 33016-5509 | 2006-10-11 |
| 1972854149 | Ania Cabrerizo Dmd Pa | Dentist | 4410 W 16th Ave, #52, Hialeah, FL 33012-7100 | 2012-09-27 |
| 1558524876 | Dayrys Tejeda | Dentist | 4410 W 16th Ave, Suite #52, Hialeah, FL 33012-7100 | 2008-07-07 |
| 1053381988 | Lizza Ivette Rivera | Dentist | 4410 W 16th Ave, Suite 52, Hialeah, FL 33012-7100 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113296 | Pediatric Dental Center of Gardens Inc | Dentist | 18244 Nw 27th Ave, Miami Gardens, FL 33056-3501 | 2020-10-27 |
| 1205446598 | Harp Pediatric Dentistry | Dentist | 31067 Us Highway 19 N, Palm Harbor, FL 34684-4416 | 2020-08-03 |
| 1043829377 | Little Champions Pediatric Dentistry | Dentist | 1330 Sw 22nd St Ste 406, Miami, FL 33145-2945 | 2020-07-22 |
| 1710595509 | Bright Smiles Pediatric Dentistry Nassau LLC | Dentist | 960135 Gateway Blvd, Fernandina Beach, FL 32034-9120 | 2020-07-17 |
| 1578180097 | Juliana Grace Fitzgerald | Dentist | 7505 Grand Lely Dr Bldg 1, Naples, FL 34113-1753 | 2020-06-30 |
| 1861012569 | Toni-marie Small | Dentist | 12625 76th Rd N, West Palm Beach, FL 33412-2259 | 2020-04-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1114573086 | Kids Dentist LLC | Dentist | 8058 W Mcnab Rd, North Lauderdale, FL 33068-4254 | 2019-08-15 |
| 1558915157 | Dentistry for Children of Florida, Pllc | Dentist | 3021 Airport Rd N Ste 203, Naples, FL 34105-3077 | 2019-07-31 |
| 1528620937 | Catherine Jane Graham | Dentist | 1395 Center Dr Rm D11-6, Gainesville, FL 32610-3006 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
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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.