CITRUS HEALTH NETWORK (NPI# 1396395075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396395075 |
| Entity Type | Organization |
| Organization Name | CITRUS HEALTH NETWORK |
| Other Organization Name | CITRUS EMBRACE HEALTH CENTER |
| Practice Address |
1645a Sw 107th Ave Miami FL 33165-7344 |
| Mailing Address |
4175 W 20th Ave Hialeah FL 33012-5874 |
| Practice Telephone | 3054243100 |
| Mailing Telephone | 3054243100 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | MR. MARIO E. JARDON (PRESIDENT & CEO) |
| Authorized Official Telephone | 3054243100 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Citrus Embrace Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508573 | Citrus Health Network | Pharmacy | 551 W 51st Pl Fl 1, Hialeah, FL 33012-3601 | 2019-09-20 |
| 1417250002 | Citrus Health Network | Community/Behavioral Health | 308 E 9th St, Hialeah, FL 33010-4216 | 2010-12-21 |
| 1669625307 | Citrus Health Network | Durable Medical Equipment & Medical Supplies | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2008-10-28 |
| 1437368784 | Citrus Health Network | Community Based Residential Treatment Facility, Mental Illness | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2007-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CITRUS HEALTH NETWORK, INC. | 4175 W 20th Ave, Hialeah, FL 33012-5874 |
| Street Address |
1645A SW 107TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33165-7344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1801401500 | Paradigm Kids Miami LLC | Behavioral Analyst | 11375 Sw 45th St, Miami, FL 33165 | 2020-09-10 |
| 1922643972 | Maritza Suarez | Behavior Technician | 1811 Sw 107th Ave Apt 2301, Miami, FL 33165 | 2019-11-14 |
| 1700439700 | 305 Medical Care Inc | Physical Medicine & Rehabilitation | 8900 Sw 24th, #209, Miami, FL 33165 | 2019-07-18 |
| 1124682299 | Picasso Dental Miami, Inc | General Practice | 9230 Sw 40th St Ste A, Miami, FL 33165 | 2019-04-24 |
| 1538723838 | Mihr Urgent Care Corp | Clinic/Center | 8900 Sw 24 St. Ste #200, Miami, FL 33165 | 2019-04-23 |
| 1942766670 | Daniel Luis Hernandez | Nurse Practitioner | 10250 Sw 56 St Suit D-103, Miami, FL 33165 | 2019-02-19 |
| 1124583695 | Meliza Mercedes Perea | Nurse Practitioner | 3850 Sw 87th Ave Ste 205, Miami, FL 33165 | 2019-02-08 |
| 1629551700 | Jorge L Hernandez | Nurse Practitioner | 8710 Sw 41 Terrace, Miami, FL 33165 | 2018-09-13 |
| 1245718857 | Cac Florida Medical Centers, LLC | Clinic/Center | 10453-55 Sw 40 Street, Miami, FL 33165 | 2018-08-06 |
| Find all providers in zip 33165 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
| 1952767402 | Jessie Trice Community Health System Inc | Clinic/Center | 1400 Nw 36th St, Miami, FL 33142-5558 | 2016-01-13 |
| 1467826487 | Community Health of South Florida Inc | Clinic/Center | 650 Nw 132nd Ave, Miami, FL 33182-1155 | 2015-11-16 |
| 1861861668 | Borinquen Health Care Center Inc | Clinic/Center | 6161 Nw 5 Court, Miami Edison Senior High, Miami, FL 33127 | 2015-09-22 |
| 1053780833 | Borinquen Health Care Center Inc | Clinic/Center | 2450 Sw 1 Street, Maimi Senior High, Miami, FL 33135 | 2015-09-22 |
| 1326417114 | Borinquen Health Care Center Inc | Clinic/Center | 330 Nw 97 Avenue, Ewf Stirrup Elementary, Miami, FL 33172 | 2015-09-22 |
| 1174992978 | Borinquen Health Care Center Inc | Clinic/Center | 350 Nw 97 Avenue, Ruben Dario Middle, Miami, FL 33172 | 2015-09-22 |
| 1225407026 | Borinquen Health Care Center Inc | Clinic/Center | 6101 Nw 2 Avenue, Itech @ Thomas A. Edison High, Miami, FL 33127 | 2015-09-22 |
| 1417326208 | Charles R. Hadley Elementary | Clinic/Center | 8400 Nw 7 Street, Charles R. Hadley Elementary, Miami, FL 33126 | 2015-09-22 |
| 1134598923 | Borinquen Health Care Center Inc | Clinic/Center | 1175 Nw 67 Street, Holmes Elementary, Miami, FL 33150 | 2015-09-22 |
| 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.