ALEXANDRIA LEE ALTIDOR (NPI# 1710536925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710536925 |
| Entity Type | Individual |
| Full Name | ALEXANDRIA LEE ALTIDOR |
| Practice Address |
4800 Sw 152nd Way Miramar FL 33027-3657 |
| Practice Telephone | 7863187536 |
| Mailing Telephone | 7863187536 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4800 SW 152ND WAY |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33027-3657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643929 | Leon Jin Chen | Student in an Organized Health Care Education/Training Program | 4747 Sw 183rd Ave, Miramar, FL 33029-6322 | 2020-06-08 |
| 1285268110 | Kelsy Nicole Pacheco | Student in an Organized Health Care Education/Training Program | 2593 Sw 177th Ter, Miramar, FL 33029-5130 | 2020-03-01 |
| 1932741923 | Samantha Nicole Leon | Student in an Organized Health Care Education/Training Program | 1860 Sw 68th Ave Apt 121, Miramar, FL 33023-2774 | 2019-10-11 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1144747288 | Nicole Romano | Student in an Organized Health Care Education/Training Program | 6351 Sw 35th Pl, Miramar, FL 33023-5016 | 2017-08-29 |
| 1164949202 | Logan Baio | Student in an Organized Health Care Education/Training Program | 16770 Sw 38th St, Miramar, FL 33027-4629 | 2017-08-29 |
| 1821471194 | Devinna Dwight | Student in an Organized Health Care Education/Training Program | 2281 S Sherman Cir, Apt B208, Miramar, FL 33025-2295 | 2015-07-06 |
| 1376824490 | Faheema Abdool-ghany | Student in an Organized Health Care Education/Training Program | 6321 Sw 26th St, Miramar, FL 33023-3911 | 2011-09-01 |
| 1780982165 | Vicki Lynn Peterson Reese | Student in an Organized Health Care Education/Training Program | 3851 Sw 160th Ave, Apt 302, Miramar, FL 33027-4690 | 2011-03-08 |
| 1700106184 | Jonathan Black | Student in an Organized Health Care Education/Training Program | 12741 Miramar Pkwy Ste 302, Miramar, FL 33027-2905 | 2010-06-08 |
| Find all providers in MIRAMAR | ||||
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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.