NEUROLOGY CONSULTANTS OF SOUTH FLORIDA INC (NPI# 1417017823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417017823 |
| Entity Type | Organization |
| Organization Name | NEUROLOGY CONSULTANTS OF SOUTH FLORIDA INC |
| Practice Address |
4160 W 16th Ave Suite 100 Hialeah FL 33012-5853 |
| Mailing Address |
Po Box 126629 Hialeah FL 33012-1610 |
| Practice Telephone | 3058265655 |
| Practice Fax Number | 3058265598 |
| Mailing Telephone | 3058265655 |
| Mailing Fax Number | 3058265598 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2010-07-19 |
| Authorized Official Name | DR. MARTHA BUSTAMANTE (PRESIDENT) |
| Authorized Official Telephone | 3058265655 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
ME58534 | FL | Allopathic & Osteopathic Physicians |
| N | 2084P0005X |
Psychiatry & Neurology Specialization: Neurodevelopmental Disabilities |
ME58534 | FL | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME58534 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
ME58534 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD FL | 99443 | 01 |
| Street Address |
4160 W 16TH AVE SUITE 100 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33012-5853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011515 | Gilberto Melchor Cruz | Psychiatry & Neurology | 4160 W 16th Ave, Suite 506, Hialeah, FL 33012-5853 | 2005-08-31 |
| 1952928590 | Ciro Alejandro Centeno Perez | Behavior Technician | 4160 W 16th Ave, Hialeah, FL 33012-5830 | 2020-06-30 |
| 1851912950 | Destiny Lynn Turienzo | Behavior Technician | 4160 W 16th Ave, Hialeah, FL 33012-5830 | 2020-04-29 |
| 1376012864 | Consalud Medical Center LLC | Clinic/Center | 4160 W 16th Ave, Hialeah, FL 33012-5853 | 2018-11-14 |
| 1992241277 | True Behavioral Community Center | Case Management | 4160 W 16th Ave, Suite 202, Hialeah, FL 33012-5853 | 2017-01-11 |
| 1578911442 | Marcia Carvalho | Nurse Practitioner | 4160 W 16th Ave, Hialeah, FL 33012 | 2016-06-01 |
| 1053786947 | Nicholas Speech and Therapy Services Inc | Speech-Language Pathologist | 4160 W 16th Ave, 305, Hialeah, FL 33012-5853 | 2015-12-03 |
| 1003232109 | Health for Life Massage Therapy | Clinic/Center | 4160 W 16th Ave, Suite#305, Hialeah, FL 33012-5853 | 2014-03-13 |
| 1558795336 | Ramiro Marrero M.d.p.a. | Internal Medicine | 4160 W 16th Ave, Suite 504, Hialeah, FL 33012-5853 | 2013-08-28 |
| 1881839215 | Yamilka Cortina | Occupational Therapy Assistant | 4160 W 16th Ave, Suite 306, Hialeah, FL 33012-5853 | 2008-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699324160 | Maria Antonia Espinosa | Behavior Technician | 520 W 38th Pl, Hialeah, FL 33012 | 2019-09-08 |
| 1972157428 | Fernandez Orthofeet Corp | Prosthetic/Orthotic Supplier | 3750 W 16th Ave Suite 102, Hialeah, FL 33012 | 2019-08-01 |
| 1790267045 | Teresita De Jesus Santander | Nurse Practitioner | 1414 West 43dr Pl, Hialeah, FL 33012 | 2018-09-04 |
| 1245721760 | Physical Therapy Now of South Florida LLC | Clinic/Center | 3595 West 20 Ave Ste B, Hialeah, FL 33012 | 2018-05-21 |
| 1346741618 | Yamirka Sanchez Perez | General Practice | 1840 W 49th St Ste 105, Hialeah, FL 33012 | 2018-02-22 |
| 1356840334 | Janet Rodriguez | Behavior Technician | 5430 W 10th Ct, Hialeah, FL 33012 | 2018-02-06 |
| 1235644642 | Gustavo Brache | Massage Therapist | 3905 West 20 Avenue, Suite 125, Hialeah, FL 33012 | 2017-12-07 |
| 1962911487 | Yenisey Garabito | Behavior Technician | 1805west 56st Apt 109, Hialeah, FL 33012 | 2017-09-27 |
| 1023536026 | Florida Dental Alliance | Dentist | 4355 W 16 Ave Suite, #205a, Hialeah, FL 33012 | 2017-08-30 |
| 1861919508 | Masury Montes De Oca | Behavior Technician | 261 W 35 Street, Hialeah, FL 33012 | 2017-08-24 |
| Find all providers in zip 33012 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841724861 | Neuro and Epilepsy Care Inc | Psychiatry & Neurology | 331 N Maitland Ave Ste D3, Maitland, FL 32751-4755 | 2017-04-17 |
| 1407201510 | Robert Kropp | Psychiatry & Neurology | 100 Beach Dr Ne Unit 1702, Saint Petersburg, FL 33701-3969 | 2016-04-26 |
| 1497142178 | Gian Carlo Rossi | Psychiatry & Neurology | 1324 Lakeland Hills Blvd Ste A, Lakeland, FL 33805-4543 | 2015-04-21 |
| 1851638167 | Ernesto J. Millan Md. Pa. | Psychiatry & Neurology | 5110 N. Habana Ave. Suite #1, Tampa, FL 33614-6873 | 2013-01-07 |
| 1942557863 | Henry Osso-rivera | Psychiatry & Neurology | 3100 Sw 62nd Ave Ofc, Miami, FL 33155-3009 | 2012-08-09 |
| 1235492679 | Clermont Neurology,pa | Psychiatry & Neurology | 17307 Pagonia Dr., Suite 100, Clermont, FL 34711-5932 | 2012-06-20 |
| 1093073645 | Abigail E Ley | Psychiatry & Neurology | 150 Sw Chamber Ct Ste 120, Port Saint Lucie, FL 34986 | 2012-05-01 |
| 1033351317 | Danilo Augusto Duenas | Psychiatry & Neurology | 9900 S. Ocean Dr., (601), Jensen Beach, FL 34957 | 2009-04-01 |
| 1619125622 | Avi Elizabeth Domnitz-gebet | Psychiatry & Neurology | 5129 S Lakeland Dr Ste 2, Lakeland, FL 33813-2599 | 2008-09-03 |
| 1508021742 | Germano Falcao | Psychiatry & Neurology | 2984 Alafaya Trl Ste 2020, Oviedo, FL 32765-7628 | 2008-07-28 |
| 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.