MIAMI PEDIATRIC GASTROENTEROLOGY LLC (NPI# 1679937742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679937742 |
| Entity Type | Organization |
| Organization Name | MIAMI PEDIATRIC GASTROENTEROLOGY LLC |
| Practice Address |
8525 Sw 92nd St Suite C-11a Miami FL 33156-7365 |
| Practice Telephone | 7862703900 |
| Mailing Telephone | 3055123345 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-05-16 |
| Authorized Official Name | RAGHAD KOUTOUBY (MEMBER) |
| Authorized Official Telephone | 3055123345 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
8525 SW 92ND ST SUITE C-11A |
| City | MIAMI |
| State | FL |
| Zip Code | 33156-7365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679561146 | Marta N Matos Psyd Pa | Psychologist | 8525 Sw 92nd St, #b-8, Miami, FL 33156-7365 | 2005-10-10 |
| 1861900235 | Yesenia Guzman | Nurse Practitioner | 8525 Sw 92nd St, Miami, FL 33156-7365 | 2018-01-18 |
| 1992250591 | Natalie Godoy | Dentist | 8525 Sw 92nd St, Building A Suit 3-b, Miami, FL 33156-7365 | 2016-08-24 |
| 1992152300 | Miami Orthodontic Specialists | Dentist | 8525 Sw 92nd St, Suite B-9, Miami, FL 33156-7365 | 2016-05-16 |
| 1548646748 | Sabriya B Ishoof Md Obgyn Pa | Obstetrics & Gynecology | 8525 Sw 92nd St, Suite D16, Miami, FL 33156-7365 | 2015-08-11 |
| 1265814966 | Samira Kaskel | Psychologist | 8525 Sw 92nd St, Suite A-3, Miami, FL 33156-7365 | 2015-06-18 |
| 1912397837 | Pediatric Care of Kendall LLC | Clinic/Center | 8525 Sw 92nd St, D-14, Miami, FL 33156-7365 | 2015-01-30 |
| 1467862631 | Carmen A. Garcia-paul | Dentist | 8525 Sw 92nd St, Suite B-9, Miami, FL 33156-7365 | 2014-04-28 |
| 1679823025 | Ania Fernandez-maitin M.d.l.l.c. | Family Medicine | 8525 Sw 92nd St, Suite B-4, Miami, FL 33156-7365 | 2012-09-13 |
| 1275882904 | Manuel J Bacallao M.d., L.L.C. | Family Medicine | 8525 Sw 92nd St, Suite B-4, Miami, FL 33156-7365 | 2012-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930046 | Orlando Maiguel Garcia | Massage Therapist | 6500 Sw 111th St, Pinecrest, FL 33156 | 2020-10-22 |
| 1326514167 | James J Jennings Md LLC | Family Medicine | 11921 South Dixie Hwy, Ste. 201, Pinecrest, FL 33156 | 2018-10-19 |
| 1134615487 | Yanet Betancourt | Assistant Behavior Analyst | 7725 N Kendall Dr Apt 220, Miami, FL 33156 | 2018-07-10 |
| 1265922215 | Jenny C Devereaux | Social Worker | 9100 S Dadeland Blvd Suite 1500, Suite 1500, Miami, FL 33156 | 2018-05-15 |
| 1760989099 | Cyndia Talia Alfonso | Behavior Technician | 7290 Sw 90th St Apt 302, Miami, FL 33156 | 2018-04-12 |
| 1699277178 | John Addison, Dmd, Pa | Durable Medical Equipment & Medical Supplies | 9700 S. Dixie Highway Suite 910, Miami, FL 33156 | 2018-03-01 |
| 1174041313 | Erin Shay | Physician Assistant | 9155 S Dadeland Boulevard, Penthouse One, Suite 1708, Miami, FL 33156 | 2017-09-08 |
| 1699297036 | Natasha Beene | Behavioral Analyst | 7572 Sw 102nd St, Miami, FL 33156 | 2017-07-07 |
| 1174055461 | Zoryana Dudaryk | Physician Assistant | 8200 Sw 134 St, Pinecrest, FL 33156 | 2017-03-28 |
| 1639618044 | Calm Care Dental Associates, Inc | Dentist | 12531 South Dixie Highway, Pinecrest, FL 33156 | 2017-02-17 |
| Find all providers in zip 33156 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1417594581 | Anamaria Nevares | Specialist | 1601 Nw 12th Ave Ste 2018, Miami, FL 33136-1005 | 2019-12-07 |
| 1619491891 | Stellae LLC | Specialist | 8323 Nw 12 Street, Suite 115, Miami, FL 33126 | 2017-07-31 |
| 1083136808 | Venecia Lasalle Jean | Specialist | 6304 Nw 14th Ave, Miami, FL 33147-8008 | 2017-07-13 |
| 1073063210 | Care for Children Pediatric Services, M.d.,p.a. | Specialist | 3228 Nw 7th St, Miami, FL 33125-4102 | 2016-10-12 |
| 1366995573 | Play To Learn Therapy, Inc. | Specialist | 10841 Sw 128th St, Miami, FL 33176-5442 | 2016-07-25 |
| 1699123323 | Leydi Reyes Figueredo | Specialist | 100 Sw 110th Ave Apt 132, Miami, FL 33174-1255 | 2016-06-03 |
| 1134574288 | Javier Perez Mena I | Specialist | 10105 Nw 9th Street Cir Apt 203, Miami, FL 33172-3290 | 2016-04-26 |
| 1528423571 | Andres Tamayo Md | Specialist | 7357 W Flagler St, Miami, FL 33144-2557 | 2015-12-17 |
| 1134591001 | Keen Radiology, LLC | Specialist | 3500 Munroe Dr, Miami, FL 33133-5932 | 2015-10-30 |
| 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.