DR. GLADYS LIZZETTE ANDRADE (NPI# 1740545201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740545201 |
Entity Type | Individual |
Full Name | DR. GLADYS LIZZETTE ANDRADE |
Credential | M.D. |
Practice Address |
61 Hook Sq Miami Springs FL 33166-4401 |
Practice Telephone | 3058848880 |
Mailing Telephone | 3058848880 |
Enumeration Date | 2012-07-11 |
Last Update Date | 2019-01-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208D00000X | General Practice | ME134772 | FL | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | ACN463 | FL | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | 18486 | PR | Allopathic & Osteopathic Physicians |
Street Address |
61 HOOK SQ |
City | MIAMI SPRINGS |
State | FL |
Zip Code | 33166-4401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366508905 | Walda Maria Vazquez-pausa | Specialist | 61 Hook Sq, Miami Springs, FL 33166-4401 | 2006-12-28 |
1518438134 | Nexus Medical Center of Miami Springs, LLC | Clinic/Center | 61 Hook Sq, Miami Springs, FL 33166-4401 | 2018-12-07 |
1932502671 | Ileana Acosta | General Practice | 61 Hook Sq, Miami Springs, FL 33166-4401 | 2014-10-08 |
1427484112 | Coverall Medical Center Corp | Clinic/Center | 61 Hook Sq, Miami Springs, FL 33166-4401 | 2013-09-25 |
1386700912 | New Life Polyclinics Inc | Point of Service | 61 Hook Sq, Miami Springs, FL 33166-4401 | 2006-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407402027 | Sfl Nutrition | Nutritionist | 3901 Nw 79th Ave. Suite 245, #312, Miami, FL 33166 | 2019-08-11 |
1629543590 | Rosa Alina Alayo | Nurse Practitioner | 151 Fairway Dr Unit 2308, Miami Springs, FL 33166 | 2018-10-08 |
1518445618 | Icare Behavior Services, LLC | Behavior Technician | 8180 Nw 36th St Ste 100l, Doral, FL 33166 | 2018-07-31 |
1871087684 | Yohjan Suarez-martinez | Nurse Practitioner | 6221 Nw 36 Th St, Miami, FL 33166 | 2018-06-15 |
1639683709 | Sonia Gloria Garcia | Nurse Practitioner | 7325 Nw 36th St, Miami, FL 33166 | 2017-11-27 |
1891214607 | Jose Sanchez | Early Intervention Provider Agency | 1036 Quail Ave, Miami Springs, FL 33166 | 2017-09-12 |
1659893022 | Yanelis Pineiro | Behavioral Analyst | 249 South Royal Poinciana Boulevard, Apto 202, Miami Springs, FL 33166 | 2017-07-07 |
1720509748 | Roxana Rodriguez | Behavior Technician | 8359 Nw South River Dr, Medley, FL 33166 | 2017-06-29 |
1457881278 | Dairene Gonzalez Ruiz | Behavior Technician | 6501 Nw 36th Street, Suite 411, Virginia Gardens, FL 33166 | 2017-06-14 |
1699204198 | Oz Medical Center Inc | Physical Medicine & Rehabilitation | 3900 Nw 79 Ave., Suite 815, Miami, FL 33166 | 2017-06-08 |
Find all providers in zip 33166 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033409008 | Miami Quality Service | General Practice | 4471 Nw 36th St Ste 204, Miami Springs, FL 33166-7288 | 2011-04-12 |
1033169222 | Freddy J Caldera | General Practice | 480 Minola Dr, Miami Springs, FL 33166-6036 | 2006-05-11 |
1932502671 | Ileana Acosta | General Practice | 61 Hook Sq, Miami Springs, FL 33166-4401 | 2014-10-08 |
1205119112 | Sunshine Medical Health Services Inc | General Practice | 4471 Nw 36th St, Suite 204, Miami Springs, FL 33166-7285 | 2011-09-27 |
1851308985 | General Medical Rehabilitation Center Inc | General Practice | 232 Westward Dr, Miami Springs, FL 33166-5260 | 2006-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033823 | Bless Medical Center of Nmb LLC | General Practice | 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 | 2020-11-02 |
1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
Find all providers with the same taxonomy |
City | MIAMI SPRINGS |
Zip Code | 33166 |
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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.