JESSICA EDITH JAIRALA-BERMUDEZ


Address: 7500 Sw 87th Ave, Ste 200, Miami, FL 33173-5426
Phone: 3059130666

JESSICA EDITH JAIRALA-BERMUDEZ (NPI# 1548603756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548603756
Entity Type Individual
Full Name JESSICA EDITH JAIRALA-BERMUDEZ
Credential PA
Practice Address 7500 Sw 87th Ave
Ste 200
Miami
FL 33173-5426
Practice Telephone 3059130666
Practice Fax Number 3059130663
Mailing Telephone 3059130666
Mailing Fax Number 3059130663
Enumeration Date 2013-04-08
Last Update Date 2013-04-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9107147 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICAL LICENSE PA9107147 01

Office Location

Street Address 7500 SW 87TH AVE
STE 200
City MIAMI
State FL
Zip Code 33173-5426

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669472833 Lisa Esserman Specialist 7500 Sw 87th Ave, Suite 100, Miami, FL 33173-5426 2005-07-28
1528516416 Edileidis Tarrio Nurse Practitioner 7500 Sw 87th Ave, Suite 201, Miami, FL 33173-5426 2016-09-20
1518357599 Gastro Health Specialty Pharmacy, LLC Pharmacy 7500 Sw 87th Ave, Suite 202, Miami, FL 33173-5426 2015-01-29
1972906907 Yetzabel C Rizo Nurse Practitioner 7500 Sw 87th Ave, Suite 200, Miami, FL 33173-5426 2014-10-05
1184927196 Sabrina Kaplan Physician Assistant 7500 Sw 87th Ave, Suite 200, Miami, FL 33173-5426 2010-12-13
1639499965 Sara Maria Fernandez Radiology 7500 Sw 87th Ave, Suite 100, Miami, FL 33173-5426 2010-06-09
1639495450 Rebecca C Karousatos Dietitian, Registered 7500 Sw 87th Ave, Suite200, Miami, FL 33173-5426 2010-04-19
1013233824 Diana P Bell Dietitian, Registered 7500 Sw 87th Ave, Suite 200, Miami, FL 33173-5426 2010-04-19
1972732154 Carol Rodriguez Hernandez Physician Assistant 7500 Sw 87th Ave, Suite 200, Miami, FL 33173-5426 2009-07-08
1881837367 Suzette Marie Casais Nurse Anesthetist, Certified Registered 7500 Sw 87th Ave, Suite 101, Miami, FL 33173-5426 2009-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598374613 Derrick George Dyer Behavioral Analyst 11025 Sw 84t St. Cottage 8, Miami, FL 33173 2020-07-24
1306405477 Erich Soto Del Valle Dentist 7125 Sw 111th Ct, Miami, FL 33173 2019-06-11
1356819247 Berenice E De La Mota Dietitian, Registered 7500 Sw 87 Avenue # 200, Miami, FL 33173 2018-11-08
1386146850 Yordanka Arango Assistant Behavior Analyst 11415 Sw 59 Terr, Miami, FL 33173 2018-03-01
1851806632 Juliana Orozco Acupuncturist 9240 Sunset Dr Ste 229, Miami, FL 33173 2017-12-03
1447760749 Irfan Saeed Nurse Practitioner 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 2017-10-02
1619491339 Malciel Bonilla Assisted Living Facility 9830 Sw 80 Dr, Miami, FL 33173 2017-08-03
1144744467 Yoislan Daniel Daniel Behavioral Analyst 10261 Sw 72 St Suite C104, Miami, FL 33173 2017-07-28
1083137061 Berkis Serrat Esnobol Behavior Technician 8961 Sw 72nd St Apt 121, Miami, FL 33173 2017-07-20
1215478276 Leonel Diaz Rapado Behavior Technician 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 2017-03-10
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962003178 Mohammed Bilal Sheikh Physician Assistant 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 2020-11-04
1043820889 Dave Norman Caldera Jr. Physician Assistant 5440 Sw 150th Ct, Miami, FL 33185-4012 2020-08-06
1003432063 Nicole Marlene Socarras Physician Assistant 8585 Sunset Dr Ste 108, Miami, FL 33143-3746 2020-06-24
1245854504 Laurent Augustin Physician Assistant 15608 Sw 112th Dr, Miami, FL 33196-4391 2020-06-02
1780213363 Amanda C. Fisher Physician Assistant 175 Sw 7th St Ste 24082409, Miami, FL 33130-2992 2020-04-06
1184258279 Ryan Walker Physician Assistant 175 Sw 7th St Ste 1100, Miami, FL 33130-2951 2020-02-27
1033749015 Christy Anne Perez Physician Assistant 41 Se 5th St Apt 2215, Miami, FL 33131-2550 2020-01-18
1689204729 Nathali Eiranova Physician Assistant 14735 Sw 36th Ter, Miami, FL 33185-3913 2020-01-16
1649810623 Jeanine Marie Cuervo Physician Assistant 15543 Sw 55th Ter, Miami, FL 33185-4176 2020-01-08
1649814930 Danette Blanco Physician Assistant 3930 Nw 2nd St, Miami, FL 33126-5712 2019-10-30
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City MIAMI
Zip Code 33173

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Dataset Information

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.

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