MIAMI DADE COMMUNITY MEDICAL GROUP,CORP. (NPI# 1649629668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649629668 |
| Entity Type | Organization |
| Organization Name | MIAMI DADE COMMUNITY MEDICAL GROUP,CORP. |
| Practice Address |
1901 Sw 1st St Suite 208 Miami FL 33135-1601 |
| Practice Telephone | 3057632384 |
| Practice Fax Number | 8778891801 |
| Mailing Telephone | 3057632384 |
| Mailing Fax Number | 8778891801 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |
| Authorized Official Name | DR. CELIA Z PADRON (PRESIDENT) |
| Authorized Official Telephone | 8565345819 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 261QR1100X |
Clinic/Center Specialization: Research |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1901 SW 1ST ST SUITE 208 |
| City | MIAMI |
| State | FL |
| Zip Code | 33135-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275513343 | Parker Medical Inc | Occupational Therapist | 1901 Sw 1st St, 2 Floor, Miami, FL 33135-1601 | 2006-01-17 |
| 1154886125 | Sahily Del Toro Lopez | Dental Hygienist | 1901 Sw 1st St, Miami, FL 33135-1601 | 2019-02-04 |
| 1588049134 | Julio Castro-gayol Md Pa | Psychiatry & Neurology | 1901 Sw 1st St, Second Floor, Miami, FL 33135-1601 | 2015-07-24 |
| 1891102224 | Care Resource Community Health Centers Inc | Community/Behavioral Health | 1901 Sw 1st St, 3rd Floor, Miami, FL 33135 | 2014-07-17 |
| 1174952527 | Cristina Leon | Social Worker | 1901 Sw 1st St, 2nd Floor, Miami, FL 33135-1601 | 2013-11-06 |
| 1275976599 | Mike Roig | Dentist | 1901 Sw 1st St, Miami, FL 33135-1601 | 2013-04-17 |
| 1740524925 | Vincent Delgado | Social Worker | 1901 Sw 1st St, 2nd Floor, Miami, FL 33135-1601 | 2012-11-12 |
| 1386996437 | Nidia Enid Collado | Social Worker | 1901 Sw 1st St, 2nd Floor, Miami, FL 33135-1601 | 2012-10-12 |
| 1740540608 | Miami Dade Community Services Inc | Social Worker | 1901 Sw 1st St, Miami, FL 33135-1601 | 2012-05-24 |
| 1780815977 | Med Pro Rehab Corp | Clinic/Center | 1901 Sw 1st St, 280, Miami, FL 33135-1601 | 2009-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601430 | Milagros Diaz Rodriguez | Behavior Technician | 1250 Sw 27 Ave, Suite 207, Miami, FL 33135 | 2020-02-20 |
| 1932739364 | Elizabeth Perez Vazquez | Behavior Technician | 1250 Sw 27 Ave Suite 207, Miami, FL 33135 | 2020-01-24 |
| 1134691660 | A&n Pharmacy Inc | Pharmacy | 1701 W. Flagler St, Suite 322, Miami, FL 33135 | 2018-12-21 |
| 1669952610 | Ileana Norma Rodriguez | Behavior Technician | 890 Sw 36th Ct, Miami, FL 33135 | 2018-08-20 |
| 1053801761 | Humberto Marchante | Massage Therapist | 327 Sw 30th Ave, Miami, FL 33135 | 2018-05-17 |
| 1336654904 | Daniela Vega | Behavior Technician | 1401 Sw 1 Street, Suite 100, Miami, FL 33135 | 2017-12-05 |
| 1609387133 | Latin Quarter Dental Pa | Clinic/Center | 1660 Sw 1 St, Miami, FL 33135 | 2017-10-24 |
| 1588173074 | Mildred E Meneses | Behavior Technician | 1971 Sw 4th St Apart 406, Miami, FL 33135 | 2017-09-27 |
| 1902320666 | Betzabeth Paredes | Behavior Technician | 429 Sw 29 Ave, Miami, FL 33135 | 2017-08-02 |
| 1386174977 | Milkos Ramon Hernandez Alvarez. | Nurse Practitioner | 2999 West Flagler St, Apt 10, Miami, FL 33135 | 2017-06-15 |
| Find all providers in zip 33135 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152460 | Adapting Behaviors, Inc | Clinic/Center | 12440 Sw 143rd Ln, Miami, FL 33186-6035 | 2020-10-20 |
| 1932718509 | Coral Diagnostic Center Inc | Clinic/Center | 12002 Sw 128th Ct Ste 202, Miami, FL 33186-4643 | 2020-07-29 |
| 1902422215 | Andreu Health Care Therapy Corp | Clinic/Center | 175 Fontainebleau Blvd Ste 2g7, Miami, FL 33172-7012 | 2020-06-23 |
| 1326673013 | Prestige Healthcare Group | Clinic/Center | 1800 Sw 1st St Ste 320, Miami, FL 33135-1964 | 2020-03-03 |
| 1952933939 | La O Community Health, Inc | Clinic/Center | 7392 Nw 35th Ter Ste 309, Miami, FL 33122-1260 | 2020-02-07 |
| 1164061255 | Bladez Medical Center Inc | Clinic/Center | 8420 W Flagler St Ste 224, Miami, FL 33144-2046 | 2020-01-06 |
| 1720629900 | Soma Health and Wellness Center, Inc | Clinic/Center | 11010 Sw 88th St Ste 104, Miami, FL 33176-1205 | 2019-09-30 |
| 1992202758 | Elitemd Inc | Clinic/Center | 2960 Ne 207th St Unit 1108, Miami, FL 33180-1455 | 2018-04-09 |
| 1902312754 | Clinica Las Mercedes II, Inc | Clinic/Center | 9853 Sw 40 Street, Miami, FL 33165 | 2017-12-15 |
| 1164962197 | Healthworks Med Group of Florida P A | Clinic/Center | 6505 Blue Lagoon Dr, 2nd Floor, Miami, FL 33126-6009 | 2017-02-23 |
| Find all providers in MIAMI | ||||
Please comment or provide details below to improve the information on MIAMI DADE COMMUNITY MEDICAL GROUP,CORP..
| 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.