ANSELMO MANUEL MENDIVE, MD. PA. (NPI# 1619011228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619011228 |
| Entity Type | Organization |
| Organization Name | ANSELMO MANUEL MENDIVE, MD. PA. |
| Practice Address |
4601 Nw 199th St Suite E Miami Gardens FL 33055-1508 |
| Practice Telephone | 3058017030 |
| Practice Fax Number | 3056237044 |
| Mailing Telephone | 3058017030 |
| Mailing Fax Number | 3056237044 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2012-01-31 |
| Authorized Official Name | MRS. YIN GARCIA (OFFICE MANAGER) |
| Authorized Official Telephone | 3058017030 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME56412 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 048992101 | 05 | |
| FL | 048992100 | 05 |
| Street Address |
4601 NW 199TH ST SUITE E |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33055-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427229384 | Anselmo M Mendive | Family Medicine | 4601 Nw 199th St, Suite E, Miami Gardens, FL 33055-1508 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684240 | Alina De Leon Calvo | Behavior Technician | 18001nw 47 Ct, Miami Gardens, FL 33055 | 2020-03-13 |
| 1871133124 | Yoanna Gasca | Behavior Technician | 5380 Nw 201st Terr Lot 326, Miami Gardens, FL 33055 | 2020-01-14 |
| 1477107936 | Connie Reese-walker | Social Worker | 19100 Nw 51stave, Miami Gardens, FL 33055 | 2019-08-01 |
| 1104483981 | Yordano Santos | Behavior Technician | 4528 Nw 191 St, Miami Gardens, FL 33055 | 2019-05-28 |
| 1508420985 | Jackeline Hinojosa Leonard | Behavior Technician | 17101 Nw 57th Ave Apt 215, Miami Gardens, FL 33055 | 2019-04-30 |
| 1023535788 | Ashanty S Campbell | Behavior Technician | 5319 Nw 189th St, Miami Gardens, FL 33055 | 2017-08-24 |
| 1326560988 | Gabriela Cordoba | Behavioral Analyst | 21351 Nw 39 Ave., Miami Gardens, FL 33055 | 2017-07-14 |
| 1639609449 | Ysabel Cristina Borroto Merlo | Behavior Technician | 18927 Nw 45 Ave, Miami Gardens, FL 33055 | 2017-06-14 |
| 1164956447 | Yolanda Cruz | Behavior Technician | 5146 Nw 199 Lane, Miami Gardens, FL 33055 | 2017-04-13 |
| 1689114613 | Viviana Ramirez | Behavior Technician | 18605 Nw 52nd Path, Miami Gardens, FL 33055 | 2017-02-23 |
| Find all providers in zip 33055 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174941959 | Jaime Arnoldo Bichara Tobar | Family Medicine | 1825 Nw 167th St Ste 109, Miami Gardens, FL 33056-4838 | 2014-03-31 |
| 1619006574 | Dr Moses O Alade Md Pa | Family Medicine | 838 Nw 183rd St, Suite 102, Miami Gardens, FL 33169-4203 | 2007-03-05 |
| 1750302626 | Prime Health Medical Center LLC | Family Medicine | 18250 Nw 2nd Avenue, Suite 202, Miami Gardens, FL 33169 | 2006-07-23 |
| 1730131046 | Curtis E. Wilkinson | Family Medicine | 17560 Nw 27th Avenue, Suite 106, Miami Gardens, FL 33056 | 2006-05-16 |
| 1578108585 | Lc Health Management LLC | Family Medicine | 4799 Nw 183rd St, Miami Gardens, FL 33055-2933 | 2019-11-13 |
| 1366913238 | Amg Group Service Corp | Family Medicine | 99 Nw 183rd St Ste 241e, Miami Gardens, FL 33169-4551 | 2018-12-17 |
| 1811471774 | Oneplus Healthcare Group, LLC | Family Medicine | 581 Nw 183rd St, Miami Gardens, FL 33169-4469 | 2018-09-18 |
| 1386135564 | Oneplus Medical Centers, LLC. | Family Medicine | 581 Nw 183rd St, Miami Gardens, FL 33169-4469 | 2018-05-23 |
| 1689177099 | St. Thomas University, Inc | Family Medicine | 16401 Nw 37th Ave, Miami Gardens, FL 33054-6313 | 2018-03-12 |
| 1730614421 | Aaron Medical Group Corp | Family Medicine | 19509 Nw 57th Ave, Miami Gardens, FL 33055-4709 | 2017-05-01 |
| Find all providers in MIAMI GARDENS | ||||
| City | MIAMI GARDENS |
| Zip Code | 33055 |
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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.