BLUE DOLPHIN HEALTH CARE, CORP. (NPI# 1477990869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477990869 |
| Entity Type | Organization |
| Organization Name | BLUE DOLPHIN HEALTH CARE, CORP. |
| Practice Address |
777 E 25th St # 302 Hialeah FL 33013-3825 |
| Practice Telephone | 7865530954 |
| Practice Fax Number | 7865022503 |
| Mailing Telephone | 7865530954 |
| Mailing Fax Number | 7865022503 |
| Enumeration Date | 2013-05-27 |
| Last Update Date | 2013-05-27 |
| Authorized Official Name | MRS. ASUNCION MARINA MUNOZ (ADULT PSYCHIATRY-NP /OWNER) |
| Authorized Official Telephone | 7865530954 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
8287 | FL | Behavioral Health & Social Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
9292609 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PTAN | EL117A | 01 |
| Street Address |
777 E 25TH ST # 302 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33013-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744272 | Manuel J Sone | Podiatrist | 777 E 25th St, Suite 302, Hialeah, FL 33013-3825 | 2005-07-21 |
| 1316427313 | Josue Alberto Moran | Registered Nurse | 777 E 25th St, Ste 516, Hialeah, FL 33013-3834 | 2018-08-19 |
| 1083155907 | Urophysicians, LLC | Urology | 777 E 25th St, Suite 304, Hialeah, FL 33013-3825 | 2017-03-10 |
| 1942657572 | Diabetes and Wound Care Network Inc | Internal Medicine | 777 E 25th St, Suite 306, Hialeah, FL 33013-3825 | 2016-05-24 |
| 1770940934 | Maria Elena Rendon De Daher | Registered Nurse | 777 E 25th St, Hialeah, FL 33013-3825 | 2016-01-19 |
| 1982061255 | Cue Pharmacy Inc | Pharmacy | 777 E 25th St, Suite 120, Hialeah, FL 33013-3825 | 2016-01-18 |
| 1336505742 | Marco Fiore Md Pa | Internal Medicine | 777 E 25th St, Hialeah, FL 33013-3825 | 2016-01-14 |
| 1316302789 | Daniel Pino Ruiz | Nurse Practitioner | 777 E 25th St, Suite 118, Hialeah, FL 33013-3825 | 2015-12-29 |
| 1730550302 | Miami Global Ob Gyn LLC | Obstetrics & Gynecology | 777 E 25th St, Unit 209, Hialeah, FL 33013-3825 | 2015-10-08 |
| 1023486735 | Jessie Trice Community Health System Inc | Clinic/Center | 777 E 25th St, Suite 316, Hialeah, FL 33013-3825 | 2015-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233918 | Yudith Lazo Gonzales | Behavior Technician | 4565 East 8 Ave, Hialeah, FL 33013 | 2020-07-28 |
| 1710539481 | Paradise Social Club Adult Day Care Corp | Clinic/Center | 3810-3830 E 4th Ave, Hialeah, FL 33013 | 2019-07-12 |
| 1669968624 | Lizette Estevez De Casabuena Serrano | Behavior Technician | 270 E 43rd St, Hialeah, FL 33013 | 2018-07-02 |
| 1790276905 | Villa Rosa Iv, Inc. | Assisted Living Facility | 3051 E. 4 Avenue, Hialeah, FL 33013 | 2018-05-23 |
| 1669972865 | Cristhian Barrios | Chiropractor | 777 E 25th St Ste 306, Hialeah, FL 33013 | 2018-02-15 |
| 1538675749 | Madelin Fuentes | Licensed Practical Nurse | 522 E 25th Street, Hialeah, FL 33013 | 2017-12-26 |
| 1942724273 | Marisol Garcia | Behavior Technician | 3760 E 10th Ave, Hialeah, FL 33013 | 2017-07-28 |
| 1932620838 | Ariana Zita Armas Sanchez | Behavior Technician | 912 E 32nd St, Hialeah, FL 33013 | 2017-06-29 |
| 1740717867 | Thalia Cordero Lopez | Behavior Technician | 4501 E 9th Ct, Hialeah, FL 33013 | 2017-05-19 |
| 1386176873 | Gam Dental | Dentist | 508 East 49 St, Hialeah, FL 33013 | 2017-04-03 |
| Find all providers in zip 33013 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117000 | Laura Alicia Besada | Nurse Practitioner | 3302 W 97th Ter, Hialeah, FL 33018-2044 | 2020-09-05 |
| 1962971465 | Tania Pilar Alfonso | Nurse Practitioner | 9044 Nw 174th Ln, Hialeah, FL 33018-6680 | 2018-11-14 |
| 1386092427 | Amp Group, Inc. | Nurse Practitioner | 875 W 77th St, Hialeah, FL 33014-4065 | 2016-05-31 |
| 1184081242 | Aponte Behavioral Health, Inc. | Nurse Practitioner | 17321 Nw 82nd Ct, Hialeah, FL 33015-3731 | 2016-01-20 |
| 1245640697 | Maria Y Carracedo-sanchez | Nurse Practitioner | 777 E 25th St Ste 409, Hialeah, FL 33013-3835 | 2014-05-06 |
| 1861015513 | Florida Mental Health Resources, LLC | Nurse Practitioner | 9044 Nw 174th Ln, Hialeah, FL 33018-6680 | 2020-05-28 |
| 1053822791 | America Karina Gomez | Nurse Practitioner | 3750 W 16th Ave Ste 126u, Hialeah, FL 33012-4645 | 2017-10-20 |
| 1730690603 | Rosa K Tousent | Nurse Practitioner | 4175 W 20th Ave, Hialeah, FL 33012-5874 | 2017-10-18 |
| 1720450166 | Eudaldo Aponte IIi | Nurse Practitioner | 5951 Nw 173rd Dr, Suite 7, Hialeah, FL 33015-5112 | 2015-10-26 |
| 1235509431 | Richard Asensio | Nurse Practitioner | 4175 W 20th Ave, Hialeah, FL 33012 | 2015-09-30 |
| Find all providers in HIALEAH | ||||
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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.