DEPENA HEALTH GROUP LLC


Address: 7171 Sw 24th St Ste 316, Miami, FL 33155-1692
Phone: 7867622415

DEPENA HEALTH GROUP LLC (NPI# 1568005411) 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) 1568005411
Entity Type Organization
Organization Name DEPENA HEALTH GROUP LLC
Practice Address 7171 Sw 24th St Ste 316
Miami
FL 33155-1692
Practice Telephone 7867622415
Practice Fax Number 7867622418
Mailing Telephone 7867622415
Mailing Fax Number 7867622418
Enumeration Date 2019-10-23
Last Update Date 2019-10-23
Authorized Official Name FLORENCIO DEPENA (PRESIDENT)
Authorized Official Telephone 7867622415
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
7171 Sw 24th St Ste 316, Miami, FL 331551692 7867622415 7867622418

Office Location

Street Address 7171 SW 24TH ST STE 316
City MIAMI
State FL
Zip Code 33155-1692

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1942815774 Mocasa Wellness Center Inc General Practice 330 Sw 27th Ave Ste 506, Miami, FL 33135-2967 2020-09-09
1316550163 Asela Infante Suarez General Practice 13450 Sw 97th Ct, Miami, FL 33176-6105 2020-08-30
1740890607 Serenity Community Mental Healthcare, LLC General Practice 10300 Sw 72nd St Ste 250, Miami, FL 33173-3014 2020-08-05
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1104447804 Dr Jean Pierre LLC General Practice 5050 Biscayne Blvd, Miami, FL 33137-3203 2020-05-04
1891316105 Jorge Luis Vega Morales General Practice 14760 Sw 66th St, Miami, FL 33193-2039 2020-04-28
1518587203 Premium Healthcare Holdings, Lllp General Practice 2400 Sw 69th Ave, Miami, FL 33155-1706 2020-04-22
1770118416 Guido A.perez, M.d., Inc. General Practice 701 Nw 57th Ave Ste 260, Miami, FL 33126-2083 2020-03-03
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Competitor

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City MIAMI
Zip Code 33155

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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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