PRIMARY HEALTH HOSPITALIST OF SOUTH FLORIDA LLC (NPI# 1689807653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689807653 |
| Entity Type | Organization |
| Organization Name | PRIMARY HEALTH HOSPITALIST OF SOUTH FLORIDA LLC |
| Practice Address |
1455 Sw 27th Ave Miami FL 33145-1234 |
| Practice Telephone | 3056493260 |
| Practice Fax Number | 3056493261 |
| Mailing Telephone | 3056493260 |
| Mailing Fax Number | 3056493261 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |
| Authorized Official Name | DR. RAUL IGNACIO TANO (PRESIDENT) |
| Authorized Official Telephone | 3056493260 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
ME46299 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1455 SW 27TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33145-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073564639 | Golden Health Care Corp | Clinic/Center | 1455 Sw 27th Ave, Miami, FL 33145-1234 | 2006-05-16 |
| 1528373040 | 1st Open Mri.llc | Clinic/Center | 1455 Sw 27th Ave, Miami, FL 33145-1234 | 2010-08-09 |
| 1932367166 | Primary Health Associates of South Florida Inc | Family Medicine | 1455 Sw 27th Ave, Miami, FL 33145-1234 | 2008-05-23 |
| 1568643039 | Babylon Clinic Inc | Clinic/Center | 1455 Sw 27th Ave, Miami, FL 33145-1234 | 2007-11-26 |
| 1790828408 | New Life Infusion Center | Clinic/Center | 1455 Sw 27th Ave, Miami, FL 33145-1234 | 2007-02-14 |
| 1740236058 | Eugen Luis | Internal Medicine | 1455 Sw 27th Ave, Miami, FL 33145-1234 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711298 | Silvia Barbara Nunez | Behavior Technician | 2343 Sw 17th Terrace, Miami, FL 33145 | 2020-08-18 |
| 1669030813 | Macrina Morera Martinez | Behavior Technician | 3191 Sw 14th St Apt 3, Miami, FL 33145 | 2019-06-03 |
| 1275013898 | Ana Diez Sampedro | Nurse Practitioner | 1921 Sw 33rd Ct, Miami, FL 33145 | 2018-08-14 |
| 1811489461 | Riviera Tu Comida Favorita Corp. | Home Delivered Meals | 3138 Coral Way, Miami, FL 33145 | 2018-05-30 |
| 1710475587 | Mayte Gentil Gomez | Nurse Practitioner | 3536 Sw 22 Terrace, Miami, FL 33145 | 2018-04-27 |
| 1073027967 | Ismaray Morejon | Behavior Technician | 1407 Sw 19th St, Miami, FL 33145 | 2017-11-30 |
| 1154833176 | Yuniar Porto Jimenez | Nurse Practitioner | 2021 Sw 23 Terrace, Miami, FL 33145 | 2017-10-31 |
| 1447769013 | Nidal Qaad | Nurse Practitioner | 3500 Coral Way, Apt 1002, Miami, FL 33145 | 2017-09-26 |
| 1821514209 | Angelica Maria Gonzalez | Behavior Technician | 3506 Sw 23rd Ter, Miami, FL 33145 | 2017-08-17 |
| 1639692924 | Yaile Espino Fernandez | Behavior Technician | 3660 Sw 16th Ter Apt #2, Miami, FL 33145 | 2017-07-19 |
| Find all providers in zip 33145 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728019 | Nana Aisha Garba | Family Medicine | 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 | 2020-07-27 |
| 1558822205 | Jose Luis Calderon | Family Medicine | 11531 Sw 6th St, Miami, FL 33174-3701 | 2019-03-26 |
| 1386109692 | Hercule Lamur | Family Medicine | 14768 Sw 158 Path, Miami, FL 33196 | 2019-01-31 |
| 1093287377 | Millenium Medical Group Corp. | Family Medicine | 2720 Sw 97th Ave Ste C105, Miami, FL 33165-2677 | 2018-12-26 |
| 1013322585 | La Quinta Medical Center of Little Haiti | Family Medicine | 7050 Ne 2nd Ave, Miami, FL 33138-5508 | 2014-06-24 |
| 1598003493 | Roberta Martin | Family Medicine | 5029 Sw 71st Pl, Miami, FL 33155-5606 | 2013-01-28 |
| 1265704514 | Marta Ariel Pfaffenberger | Family Medicine | 3301 Ne 5th Ave Apt 1107, Miami, FL 33137-4027 | 2012-02-02 |
| 1376821322 | Lorenzo J. Negret, M.d., P.a. | Family Medicine | 11760 Sw 40th St Ste 433, Miami, FL 33175-3595 | 2011-07-25 |
| 1841451929 | Ariadna Valdes | Family Medicine | 7000 Sw 97th Ave Ste 106, Miami, FL 33173-1474 | 2008-06-20 |
| 1427218049 | Coya Medical Center, Pa | Family Medicine | 2580 Sw 107th Ave, Miami, FL 33165-2400 | 2008-06-17 |
| 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.