DR. LIDIA ROSA BERMUDEZ (NPI# 1730250663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730250663 |
| Entity Type | Individual |
| Full Name | DR. LIDIA ROSA BERMUDEZ |
| Credential | MD |
| Practice Address |
8805 Nw 179th Ln Hialeah FL 33018-6509 |
| Practice Telephone | 3053005501 |
| Practice Fax Number | 3058243774 |
| Mailing Telephone | 3053005501 |
| Mailing Fax Number | 3058243774 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
ME0091458 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE GROUP PIN | K7409 | 01 |
| FL | BLUE CROSS BLUE SHIELD FLA | 68549 | 01 |
| Street Address |
8805 NW 179TH LN |
| City | HIALEAH |
| State | FL |
| Zip Code | 33018-6509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447448592 | Lrb Medical Services P A | General Practice | 8805 Nw 179th Ln, Hialeah, FL 33018-6509 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238018 | Yarelis Arronte | Behavior Technician | 6989 W 36th Ave Unit 203, Hialeah, FL 33018 | 2020-06-05 |
| 1104445402 | Diana Rodriguez | Behavior Technician | 17600nw 89th Ave, Hialeah, FL 33018 | 2020-04-16 |
| 1780212381 | Patricia Del Carmen Marquez | Pharmacist | 9160 Nw 122nd St Unit #27, Hialeah Gardens, FL 33018 | 2020-03-30 |
| 1164072005 | Sunflower Alf LLC | Assisted Living Facility | 9412 Nw 177 Terr, Miami, FL 33018 | 2019-09-12 |
| 1336630946 | Yamileydi A Veiga | Behavioral Analyst | 10663 Nw 88 Ave, Hialeah Gardens, FL 33018 | 2018-05-21 |
| 1992294573 | Michelle Martinez | Specialist/Technologist | 14171 Nw 87th Ct, Miami Lakes, FL 33018 | 2018-05-09 |
| 1285130047 | Jrl Behavioral Inc | Community/Behavioral Health | 11117 E Okeechobee Rd, Ste 118, Hialeah Gardens, FL 33018 | 2018-04-02 |
| 1700385697 | United Therapy Services, LLC | Clinic/Center | 2882 W 72 Terr, Hialeah, FL 33018 | 2018-02-06 |
| 1144737149 | Yuresmi Martinez | Behavior Technician | 3240 W 70th St Unit 119, Hialeah, FL 33018 | 2017-12-29 |
| 1992210488 | De Sousa & Maniglia Dmd, Pa | Dentist | 8200 W. 33rd Ave Ste 5, Hialeah, FL 33018 | 2017-12-06 |
| Find all providers in zip 33018 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639276371 | Jose Angel Tendero | Family Medicine | 681 E 9th St, Hialeah, FL 33010-4523 | 2006-09-17 |
| 1023040243 | Domingo Gomez | Family Medicine | 415 W 49th St Ste 1, Hialeah, FL 33012-3637 | 2006-07-07 |
| 1922044882 | Universal Health Care Association | Family Medicine | 1550 W 84th St, Suite 52-54, Hialeah, FL 33014-3377 | 2006-06-21 |
| 1003874454 | Orlando C. Moreno | Family Medicine | 4835 E 4th Ave, Suite B, Hialeah, FL 33013-1814 | 2006-05-03 |
| 1346208626 | Delfina Medical Center, Inc | Family Medicine | 835 E 10th Ave, Hialeah, FL 33010-4645 | 2006-05-03 |
| 1457336877 | Rafael A Palmerola | Family Medicine | 975 W 49th St, Hialeah, FL 33012-3412 | 2005-12-08 |
| 1689661480 | Monica Liliana Grinberg | Family Medicine | 1025 E 25th St, Hialeah, FL 33013-3703 | 2005-10-05 |
| 1447678727 | Miguel Angel Cruz | Family Medicine | 2020 W 64th St, Hialeah, FL 33016-2607 | 2014-04-03 |
| 1477990844 | Hubert Gregory Martinez | Family Medicine | 7100 W 20th Ave, Suite 403, Hialeah, FL 33016-1897 | 2013-05-26 |
| 1477725927 | Fidel Cintas | Family Medicine | 440 W 49th St, Hialeah, FL 33012-3603 | 2008-03-25 |
| Find all providers in HIALEAH | ||||
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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.