ACCESS MEDICAL GROUP OF MIAMI, INC. (NPI# 1619259264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619259264 |
| Entity Type | Organization |
| Organization Name | ACCESS MEDICAL GROUP OF MIAMI, INC. |
| Other Organization Name | COMMUNITY MEDICAL GROUP OF MIAMI |
| Practice Address |
1490 Nw 27th Ave Suite 130 Miami FL 33125-2157 |
| Mailing Address |
6100 Blue Lagoon Dr Suite 365 Miami FL 33126-2079 |
| Practice Telephone | 3056357710 |
| Practice Fax Number | 3056378122 |
| Mailing Telephone | 7863227333 |
| Mailing Fax Number | 7863227329 |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | LUIS H. IZQUIERDO (CEO) |
| Authorized Official Telephone | 7863227333 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009426100 | 05 |
| Other Name | Type Code |
|---|---|
| COMMUNITY MEDICAL GROUP OF MIAMI | Doing Business As Name - Organization |
| Street Address |
1490 NW 27TH AVE SUITE 130 |
| City | MIAMI |
| State | FL |
| Zip Code | 33125-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477700722 | Mario Adrian Reyes | Nurse Practitioner | 1490 Nw 27th Ave, 130, Miami, FL 33125-2157 | 2008-08-19 |
| 1649677535 | Sandra G Rojas | Nurse Practitioner | 1490 Nw 27th Ave, 130, Miami, FL 33125-2157 | 2014-11-21 |
| 1588089411 | Mayra C Marrero | Nurse Practitioner | 1490 Nw 27th Ave, Suite 130, Miami, FL 33125-2157 | 2014-03-01 |
| 1679874655 | Serman Luis Ojeda Gil | Pediatrics | 1490 Nw 27th Ave, Suite 130, Miami, FL 33125-2157 | 2010-11-08 |
| 1336473917 | Ideal Medical Center of Miami | Family Medicine | 1490 Nw 27th Ave, Suite # 130, Miami, FL 33125-2157 | 2009-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1548872971 | Easter Seals South Florida, Inc. | Home Health | 1475 Nw 14 Ave, Miami, FL 33125 | 2020-08-18 |
| 1295368991 | Stellar Alf II LLC | Assisted Living Facility | 3055 N.w. Flagler Terr., Miami, FL 33125 | 2020-02-20 |
| 1841773546 | Enmanuel Alejandro Iglesias | Speech-Language Pathologist | Thera-pro Care,llc 888 Nw 27 Avenue, Suite 5, Miami, FL 33125 | 2018-09-10 |
| 1588158117 | Josefina Cammarano De Casas | Behavior Technician | 720 Nw 19th Ct., Miami, FL 33125 | 2018-06-18 |
| 1861984262 | Patricia Gabbidon | Audiologist | 1201 Nw 16th St Rm 2a151, Miami, FL 33125 | 2018-05-31 |
| 1154829471 | Iviana Tamara Farinas | Nurse Practitioner | 1951 Nw 7th Street, Miami, FL 33125 | 2018-02-01 |
| 1316452634 | Dayana A Perez Del Pozo | Physical Therapy Assistant | 1422 Nw 7th Street, Marlins Park Third Base Entrance, Miami, FL 33125 | 2017-12-08 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
| 1609398247 | Yaremi Ramirez | Behavioral Analyst | 2145 Nw 13th St, Miami, FL 33125 | 2017-07-14 |
| Find all providers in zip 33125 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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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.