MIVIP MEDICAL GROUP INC (NPI# 1477996544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477996544 |
| Entity Type | Organization |
| Organization Name | MIVIP MEDICAL GROUP INC |
| Practice Address |
351 Nw 42nd Ave Suite 408 Miami FL 33126-5683 |
| Mailing Address |
398 Camino Gardens Blvd Suite 102 Boca Raton FL 33432-5827 |
| Practice Telephone | 5613923341 |
| Mailing Telephone | 5613923341 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2015-01-13 |
| Authorized Official Name | ISAAC VERBUKH (OWBER) |
| Authorized Official Telephone | 5613923341 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBSFL | 004L9 | 01 |
| Street Address |
351 NW 42ND AVE SUITE 408 |
| City | MIAMI |
| State | FL |
| Zip Code | 33126-5683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973807 | Juan M Garces | Specialist | 351 Nw 42nd Ave, Suite 503, Miami, FL 33126-5683 | 2005-06-22 |
| 1174075873 | Professional Health Alliance LLC | Clinic/Center | 351 Nw 42nd Ave, Ste 503, Miami, FL 33126-5683 | 2016-10-28 |
| 1457803256 | Health Professionals Associates, Inc. | Clinic/Center | 351 Nw 42nd Ave, 503, Miami, FL 33126-5683 | 2016-10-27 |
| 1689031288 | Viva Health LLC | Clinic/Center | 351 Nw 42nd Ave, Suite 503, Miami, FL 33126-5683 | 2016-01-27 |
| 1437522166 | Miami Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 351 Nw 42nd Ave, 408, Miami, FL 33126-5683 | 2015-11-03 |
| 1205205606 | Paladina Health, LLC | Family Medicine | 351 Nw 42nd Ave, Suite 301, Miami, FL 33126-5683 | 2015-09-16 |
| 1902288509 | Galeno Medical Associates Inc | Internal Medicine | 351 Nw 42nd Ave, Suite 204, Miami, FL 33126-5683 | 2015-06-19 |
| 1669873501 | Martha Bofill & Associates, P.s.y., Corp | Psychologist | 351 Nw 42nd Ave, Suite 401, Miami, FL 33126-5683 | 2014-09-10 |
| 1073913133 | Health Professional Associates, Inc. | Specialist | 351 Nw 42nd Ave, Suite 503, Miami, FL 33126-5683 | 2014-08-26 |
| 1174931208 | Jossue Alfonso Dmd Pa | Dentist | 351 Nw 42nd Ave, Suite 402, Miami, FL 33126-5683 | 2014-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122956 | Lissue Rodriguez Miranda | Behavior Technician | 296 Norhwest Dr, Miami, FL 33126 | 2020-10-22 |
| 1669086534 | Dayami Villavicencio | Behavior Technician | 300nw 40th Ct, Miami, FL 33126 | 2020-09-08 |
| 1013526888 | Yanira Rey | Behavior Technician | 4550 Nw 9th St, Apt 701, Miami, FL 33126 | 2020-07-28 |
| 1215575782 | Ana Rita Franco | Marriage & Family Therapist | 6303 Blue Lagoon Dr. #400, Miami, FL 33126 | 2019-12-16 |
| 1417590084 | Grisel De La Fe Perez | Nurse Practitioner | 740 Nw 45th Ave, Miami, FL 33126 | 2019-10-25 |
| 1912471889 | Ashley Marie Dominguez | Counselor | 5201 Blue Lagoon Dr # 891, Miami, FL 33126 | 2019-01-14 |
| 1295227346 | Rita Caridad Rodriguez | Behavior Technician | Bett-er Support & Service Inc., 815 Nw 57 Avenue Ste 114, Miami, FL 33126 | 2018-06-05 |
| 1992296693 | Ana Isabel Escobar Martinez | Behavior Technician | 8045 Nw 7th St Apt 404, Miami, FL 33126 | 2018-05-29 |
| 1073004362 | Edelmis Estevez Rodriguez | Behavior Technician | 266 Nw 40th Ct, Miami, FL 33126 | 2018-05-23 |
| 1003304478 | Md Now Medical Centers Inc | Clinic/Center | 150 Nw 42nd Ave, Miami, FL 33126 | 2018-05-01 |
| Find all providers in zip 33126 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344016 | Magic Steps Therapy LLC | Clinic/Center | 281 Nw 59th Ct, Miami, FL 33126-4749 | 2020-10-23 |
| 1194324046 | Fine Therapy and Rehab Center Corp | Clinic/Center | 10300 Sw 72nd St Ste 123, Miami, FL 33173-3001 | 2020-10-21 |
| 1386242055 | A & P Therapy Services, LLC | Clinic/Center | 2061 Sw 150th Ave, Miami, FL 33185-5689 | 2020-10-14 |
| 1598371064 | Orive Physician Services Pa | Clinic/Center | 7235 Sw 39th St, Miami, FL 33155-6615 | 2020-09-21 |
| 1174139745 | The Fidelity Health Care Group Florida, LLC | Clinic/Center | 1065 Sw 8th St Unit 135, Miami, FL 33130-3601 | 2020-09-19 |
| 1972117224 | Beautiful Minds Medical Center LLC | Clinic/Center | 11045 Sw 216th Street, Unit 6, Miami, FL 33170 | 2020-09-03 |
| 1912510751 | Abc Health Care Services LLC | Clinic/Center | 175 Fontainebleau Blvd # 2a2, Miami, FL 33172-7018 | 2020-08-30 |
| 1952914517 | Therapy Unlimited Miami | Clinic/Center | 792 Nw 123rd Ct, Miami, FL 33182-2429 | 2020-08-24 |
| 1801405170 | Blue Medical Center Corp | Clinic/Center | 7805 Sw 24th St Ste 129, Miami, FL 33155-6553 | 2020-07-23 |
| 1407473820 | Caremax Medical Center of Westchester, L.L.C. | Clinic/Center | 8755 Sw 24th St, Miami, FL 33165-2005 | 2020-07-01 |
| Find all providers in MIAMI | ||||
Please comment or provide details below to improve the information on MIVIP MEDICAL GROUP INC.
| 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.