DR. MATTHEW IVAN RUSILKO (NPI# 1609140904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609140904 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW IVAN RUSILKO |
| Other Name | DR. IVAN RUSILKO |
| Credential | D.O. |
| Practice Address |
1441 Brickell Ave Miami Institute Four Seasons Sky Lobby Miami FL 33131 |
| Practice Telephone | 3056240009 |
| Mailing Telephone | 3056240009 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 11598 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1441 BRICKELL AVE MIAMI INSTITUTE FOUR SEASONS SKY LOBBY |
| City | MIAMI |
| State | FL |
| Zip Code | 33131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992726186 | Adonis Maiquez | Family Medicine | 1441 Brickell Ave, # 3rd Floor Sky Lobby, Miami, FL 33131-3439 | 2006-07-22 |
| 1205008745 | Nu Institute for Age Managment | Surgery | 1441 Brickell Ave, 3rd Floor Sky Lobby, Miami, FL 33131-3439 | 2008-03-25 |
| 1801916127 | Jelena Petkovic | Physician Assistant | 1441 Brickell Ave, Suite 300, Miami, FL 33131-3425 | 2007-03-30 |
| 1548380322 | Robert L Simons | Plastic Surgery | 1441 Brickell Ave, Suite 300, Miami, FL 33131-3425 | 2007-03-29 |
| 1225158090 | Julio F Gallo | Plastic Surgery | 1441 Brickell Ave, Suite 300, Miami, FL 33131-3425 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144873407 | Agency for Vital Services LLC | Home Health | 200 S Biscayne Blvd., Suite 2790, Miami, FL 33131 | 2019-07-16 |
| 1245700806 | Yang Yin Therapy LLC | Counselor | 601 Brickell Key Drive Suite 728, Miami, FL 33131 | 2018-11-27 |
| 1972029304 | Lelibet Diaz Lemus | Assistant Behavior Analyst | 218 Se 14th St Apt 1504, Miami, FL 33131 | 2017-08-17 |
| 1235668617 | Chloe Cavayero | Behavioral Analyst | 801 Brickell Key Dr., Unit 2007, Miami, FL 33131 | 2017-06-08 |
| 1477093888 | Dr. Mayra Burguera, Psy.d., P.a. | Psychologist | 1110 Brickell Ave Ste 407, Miami, FL 33131 | 2017-03-03 |
| 1871942920 | Angela Mcmullin | Dentist | 951 Brickell Avenue, 3310, Miami, FL 33131 | 2016-06-09 |
| 1851765499 | Kristen Rollman | Behavioral Analyst | 340 Se 3rd St Apt 3109, Miami, FL 33131 | 2015-11-19 |
| 1063804177 | Jose H Caraballo | Social Worker | 1450 Brickell Bay Dr Apt 1002, Miami, FL 33131 | 2015-02-26 |
| 1619371531 | Carolina Botero | Substance Abuse Rehabilitation Facility | 169 E Flagler St Suite 1300, Miami, FL 33131 | 2014-10-21 |
| 1285984773 | Dr Jayson Milner, LLC | Chiropractor | 1390 Brickell Avenue, #310, Miami, FL 33131 | 2012-09-12 |
| Find all providers in zip 33131 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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 |
| 1144841776 | Simplify Home Health Pllc | General Practice | 3301 Ne 1st Ave Apt 2906, Miami, FL 33137-4174 | 2020-05-05 |
| 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 |
| Find all providers in MIAMI | ||||
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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.