DORISLEY TRAVIESO JORGE (NPI# 1700375052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700375052 |
| Entity Type | Individual |
| Full Name | DORISLEY TRAVIESO JORGE |
| Credential | ARNP |
| Practice Address |
19001 Sw 106th Ave Cutler Bay FL 33157-7669 |
| Mailing Address |
6423 Sw 162nd Ave Miami FL 33193-5833 |
| Practice Telephone | 3052559806 |
| Practice Fax Number | 3052559807 |
| Mailing Telephone | 3057664845 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
9402632 | FL | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | ARNP9402632 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9402632 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
ARNP9402632 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14732 Sw 56th St, Miami, FL 331854041 | 7866686396 |
| Street Address |
19001 SW 106TH AVE |
| City | CUTLER BAY |
| State | FL |
| Zip Code | 33157-7669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508123084 | Jennifer Wilson | Speech-Language Pathologist | 19001 Sw 106th Ave, Cutler Bay, FL 33157-7669 | 2012-04-20 |
| 1972903524 | 1st Jpa Behavior Management Clinic Inc | Marriage & Family Therapist | 19001 Sw 106th Ave, Suite C103, Cutler Bay, FL 33157-7669 | 2014-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831711399 | Palmetto Bay Retirement Home | Assisted Living Facility | 9220 Sw 174th Street, Palmetto Bay, FL 33157 | 2020-05-07 |
| 1033752886 | Jean Carlos Alf, Inc. | Assisted Living Facility | 9760 Memorial Road, Cutler Bay, FL 33157 | 2019-10-24 |
| 1912470238 | Metro Transport Services LLC | Non-emergency Medical Transport (VAN) | 18495 South Dixie Highway #233, Miami, FL 33157 | 2019-01-09 |
| 1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
| 1891283297 | Arianna Michelle Endara | Occupational Therapist | 10920 Sw 186th Street, Miami, FL 33157 | 2018-05-01 |
| 1841798022 | Yanet Rodriguez | Behavioral Analyst | 10920 Sw 200th Dr #100, Cutler Bay, FL 33157 | 2018-01-23 |
| 1548777543 | Ceda Orthopedics & Interventional Medicine | Chiropractor | 10974 Sw 184th Street, Miami, FL 33157 | 2017-12-29 |
| 1033635438 | Gabriela Deschamps | Behavior Technician | 15385 S Dixie Hwy, Apt 4, Miami, FL 33157 | 2017-08-17 |
| 1811411598 | Rebeca Molina De Tamayo | Behavior Technician | 9507 Sw 160th Street, Suite 250, Miami, FL 33157 | 2017-08-03 |
| 1194249912 | Family Love Behavioral Health Care LLC | Behavioral Analyst | 18901 Sw 106 Avenue, Suite A-227, Miami, FL 33157 | 2017-08-02 |
| Find all providers in zip 33157 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609189 | Manuel Quintero | Nurse Practitioner | 21880 Old Cutler Rd, Cutler Bay, FL 33190-1024 | 2020-11-04 |
| 1336748904 | Juan Calos Fernandez Sr. | Nurse Practitioner | 8862 Sw 209th Ter, Cutler Bay, FL 33189-3418 | 2020-10-23 |
| 1750989208 | Yuslin Sanchez Barral | Nurse Practitioner | 19421 Whispering Pines Rd, Cutler Bay, FL 33157-8884 | 2020-10-15 |
| 1154935203 | Yadelin Gonzalez | Nurse Practitioner | 10120 Sw 215th St, Cutler Bay, FL 33189-3037 | 2020-09-06 |
| 1548873995 | Kimar Estes | Nurse Practitioner | 9125 Sw 227th St Unit 2, Cutler Bay, FL 33190-1858 | 2020-08-26 |
| 1487265104 | Raul Caballero | Nurse Practitioner | 21511 Sw 89th Path, Cutler Bay, FL 33189-7351 | 2020-08-14 |
| 1962010926 | Raisa Duran Menendez | Nurse Practitioner | 10037 Sw 221st St, Cutler Bay, FL 33190-1186 | 2020-07-16 |
| 1689207268 | Joao Papadelis | Nurse Practitioner | 19525 Lenaire Dr, Cutler Bay, FL 33157-8546 | 2020-02-21 |
| 1376188367 | Jeanine Daiana Johnson | Nurse Practitioner | 18962 Sw 94th Ave, Cutler Bay, FL 33157-7958 | 2019-11-13 |
| 1053954891 | Kayin Wong | Nurse Practitioner | 20792 Sw 91st Ct, Cutler Bay, FL 33189-3935 | 2019-10-24 |
| Find all providers in CUTLER BAY | ||||
| City | CUTLER BAY |
| Zip Code | 33157 |
Please comment or provide details below to improve the information on DORISLEY TRAVIESO JORGE.
| 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.