SACRED HEART MEDICAL OFFICE PA (NPI# 1609199017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609199017 |
| Entity Type | Organization |
| Organization Name | SACRED HEART MEDICAL OFFICE PA |
| Practice Address |
17901 Nw 5th St Suite 205 Pembroke Pines FL 33029-2810 |
| Practice Telephone | 9543920333 |
| Practice Fax Number | 9543920393 |
| Mailing Telephone | 9543920333 |
| Mailing Fax Number | 9543920393 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2010-03-12 |
| Authorized Official Name | DR. YVELICE A VILLAMAN-BENCOSME (OWNER) |
| Authorized Official Telephone | 9543920333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ME64482 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001454700 | 05 |
| Street Address |
17901 NW 5TH ST SUITE 205 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33029-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285616490 | Garima Lal | Ophthalmology | 17901 Nw 5th St, Suite 204, Pembroke Pines, FL 33029-2810 | 2005-11-15 |
| 1528610730 | Helen E Parker | Nurse Practitioner | 17901 Nw 5th St, Pembroke Pines, FL 33029-2810 | 2019-07-09 |
| 1912458852 | Evelyn Alexandra Gil | Dentist | 17901 Nw 5th St, Ste 206, Pembroke Pines, FL 33029-2810 | 2016-10-15 |
| 1972961241 | Nuon Technologies, LLC | Specialist | 17901 Nw 5th St, Suite 103, Pembroke Pines, FL 33029-2810 | 2016-02-02 |
| 1356782429 | Diabetes Thyroid & Endocrine Associates LLC | Internal Medicine | 17901 Nw 5th St, Siute 103, Pembroke Pines, FL 33029-2810 | 2013-07-17 |
| 1033421912 | One Medical Services, Inc | Clinic/Center | 17901 Nw 5th St, Suite 101, Pembroke Pines, FL 33029-2810 | 2010-07-08 |
| 1689906075 | Jenny Arango-longo | Obstetrics & Gynecology | 17901 Nw 5th St, Suite 202, Pembroke Pines, FL 33029-2810 | 2010-02-09 |
| 1619209590 | Olympus Medical Center Inc | Clinic/Center | 17901 Nw 5th St, Suite 103, Pembroke Pines, FL 33029-2810 | 2010-02-03 |
| 1790014017 | Living Stone Nephrology and Hypertension Consultants Inc | Internal Medicine | 17901 Nw 5th St, Suite 203, Pembroke Pines, FL 33029-2810 | 2009-12-15 |
| 1891029914 | South Florida Occupational Medical Center | Clinic/Center | 17901 Nw 5th St, #101, Pembroke Pines, FL 33029-2810 | 2009-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| 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 |
|---|---|---|---|---|
| 1992329320 | Visiting Health Services of South Florida | Clinic/Center | 1190 Nw 166th Ave, Pembroke Pines, FL 33028-1341 | 2020-06-01 |
| 1194369637 | Speech Therapy In Early Age, Inc | Clinic/Center | 1611 Nw 89th Ave, Pembroke Pines, FL 33024-4753 | 2019-10-28 |
| 1255708400 | Centro De Consejeria Palabra De Sabiduria, Inc | Clinic/Center | 19620 Pines Boulvd, Suite 217-11, Pembroke Pines, FL 33029 | 2015-08-24 |
| 1083093439 | Triton Medical Center Inc | Clinic/Center | 1114 N University Dr, Pembroke Pines, FL 33024-5031 | 2015-05-19 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1871819821 | Acupuncture and Herb Solutions | Clinic/Center | 500 N Hiatus Rd Ste 105, Pembroke Pines, FL 33026-5213 | 2010-04-15 |
| 1265662498 | Wellmax Health Medical Centers, LLC | Clinic/Center | 1500 South Hiatus Road (1-9), Pembroke Pines, FL 33025 | 2009-07-22 |
| 1912911819 | Pan Am Diagnostic Services, Inc. | Clinic/Center | 1820 N University Dr, Pembroke Pines, FL 33024-3604 | 2006-07-28 |
| 1215959184 | Universal Kidney Center of Pembroke Pines-miramar LLC | Clinic/Center | 18004 Nw 6th St Ste 101, Pembroke Pines, FL 33029-2823 | 2006-07-23 |
| 1376161455 | Total Healthcare Clinic LLC | Clinic/Center | 3157 N University Dr Ste 107, Pembroke Pines, FL 33024-2258 | 2020-07-06 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33029 |
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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.