GELENIS CALZADILLA DOMINGO (NPI# 1558534545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558534545 |
| Entity Type | Individual |
| Full Name | GELENIS CALZADILLA DOMINGO |
| Other Name | GELENIS CALZADILLA |
| Credential | M.D. |
| Practice Address |
20801 Biscayne Boulevard Suite 200 Aventura FL 33180-1422 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542654325 |
| Practice Fax Number | 3059353186 |
| Mailing Telephone | 9542765644 |
| Mailing Fax Number | 9542760668 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2016-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME110846 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME110846 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 036132324 | IL | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004108900 | 05 | |
| FL | BLUE CROSS BLUE SHIELD OF FLORIDA | 14H6D | 01 |
| Street Address |
20801 BISCAYNE BOULEVARD SUITE 200 |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093709669 | Robert A Hirsch | Internal Medicine | 20801 Biscayne Blvd Ste 200, Aventura, FL 33180-1422 | 2005-09-09 |
| 1215323373 | Felipe Gustavo Gercovich | Internal Medicine | 2875 Ne 191st St, Suite 801, Aventura, FL 33180-2801 | 2015-04-15 |
| 1336438001 | Bojana Bjekic-bhardwaj Md Pa | Internal Medicine | 21355 E Dixie Hwy, Ste 102, Aventura, FL 33180-1238 | 2011-04-04 |
| 1528203114 | Aventura Healthcare Specialists, LLC | Internal Medicine | 20950 Ne 27th Ct, Suite 300, Aventura, FL 33180-1232 | 2008-12-10 |
| 1679790380 | Marvin Diaz-lacayo Md Pa | Internal Medicine | 21150 Biscayne Blvd, Ste 101, Aventura, FL 33180-1226 | 2007-04-20 |
| 1194782268 | Jonathan B Leslie | Internal Medicine | 21110 Biscayne Blvd, Suite 400, Aventura, FL 33180-1252 | 2006-05-01 |
| 1821055948 | Jonathan B. Leslie, D.o.,p.a. | Internal Medicine | 21110 Biscayne Blvd, Suite 400, Aventura, FL 33180-1252 | 2006-05-01 |
| 1750378709 | Enrique Davila | Internal Medicine | 21150 Biscayne Blvd, Suite 206, Aventura, FL 33180-1226 | 2005-10-04 |
| 1306831722 | South Florida Oncology Hematology | Internal Medicine | 20950 Ne 27th Ct, Suite 203, Aventura, FL 33180-1232 | 2005-09-12 |
| 1891789467 | Michael H Greenhawt | Internal Medicine | 20950 Ne 27th Ct, Ste 203, Aventura, FL 33180-1232 | 2005-09-09 |
| Find all providers in AVENTURA | ||||
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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.