LUNG AND CRITICAL CARE SPECIALISTS OF SOUTH FLORIDA (NPI# 1750709622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750709622 |
| Entity Type | Organization |
| Organization Name | LUNG AND CRITICAL CARE SPECIALISTS OF SOUTH FLORIDA |
| Practice Address |
12905 Sw 42nd St Miami FL 33175-2905 |
| Mailing Address |
12745 Nw 8th Ln Miami FL 33182-1858 |
| Practice Telephone | 3053323442 |
| Mailing Telephone | 3053323442 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |
| Authorized Official Name | DR. JAVIER GONZALEZ (MANAGER) |
| Authorized Official Telephone | 3053323442 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
12905 SW 42ND ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760426407 | Teresa Odalys Garcia Arteaga | Counselor | 12905 Sw 42nd St, Miami, FL 33175-2905 | 2006-06-15 |
| 1649888355 | Joge Eduardo Rodriguez | Behavior Technician | 12905 Sw 42nd St, Miami, FL 33175-2905 | 2020-07-20 |
| 1811487200 | Vasquez Pulmonary Consultants Inc | Internal Medicine | 12905 Sw 42nd St, Miami, FL 33175-2905 | 2018-05-11 |
| 1225486848 | P,e,t. Ct & Mri of Miami, LLC | Clinic/Center | 12905 Sw 42nd St, Suite 106, Miami, FL 33175-2905 | 2016-05-25 |
| 1043664626 | Dynamic Motion Rehab Center | Clinic/Center | 12905 Sw 42nd St, Suite 202, Miami, FL 33175-2905 | 2016-04-20 |
| 1124450382 | Cac- Florida Medical Centers LLC | Clinic/Center | 12905 Sw 42nd St, Suite 103, Miami, FL 33175-2905 | 2013-07-30 |
| 1467711101 | Total Medical Services of Miami Inc | Clinic/Center | 12905 Sw 42nd St, Suite 201, Miami, FL 33175-2905 | 2012-05-15 |
| 1689930430 | Medical Healthcare Group Corp | Clinic/Center | 12905 Sw 42nd St, Suite 215, Miami, FL 33175-2905 | 2012-04-05 |
| 1497021521 | Confident Care Health Plan, Inc. | Health Maintenance Organization | 12905 Sw 42nd St, Suite 212, Miami, FL 33175-2905 | 2012-03-22 |
| 1639446503 | Faith Health Providers | Pediatrics | 12905 Sw 42nd St, Suite 101, Miami, FL 33175-2905 | 2011-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356667430 | Jacky Bruce Blank | Internal Medicine | 6200 Sw 73 Street, Miami, FL 33143-7679 | 2010-04-14 |
| 1285961680 | Mehdi Mirsaeidi | Internal Medicine | 1600 Nw 10th Ave # 7060a, Miami, FL 33136-1015 | 2009-11-06 |
| 1013162213 | Lourdes Bosch Md Pa | Internal Medicine | 351 Nw Lejeune Rd Suite 406, Miami, FL 33126-5689 | 2008-12-02 |
| 1164644233 | Pulmonary Physicians Diagnostics LLC | Internal Medicine | 9035 Sunset Drive, Suite 103, Miami, FL 33176 | 2007-05-02 |
| 1104835099 | Jose M Birriel | Internal Medicine | 351 Nw 42nd Ave Ste 406, Miami, FL 33126-5689 | 2006-08-07 |
| 1194757302 | David Alfredo Orta Jr. | Internal Medicine | 7500 Sw 8 St, Suite 209, Miami, FL 33144 | 2006-07-07 |
| 1255376661 | Waddah Allaf Md Pa | Internal Medicine | 20200 W Dixie Hwy Ste 1108, Miami, FL 33180-1922 | 2006-06-19 |
| 1760426597 | Eduardo Jose Vasquez | Internal Medicine | 12905 Sw 42nd St Ste 213, Miami, FL 33175-2912 | 2006-06-15 |
| 1003894692 | Juan Luis Barrio | Internal Medicine | 9495 Sw 72nd St, Suite B210, Miami, FL 33173-3253 | 2006-01-04 |
| 1730165200 | Constantino Costarangos | Internal Medicine | 10251 Sw 72nd St, Suite A101, Miami, FL 33173-2957 | 2005-12-16 |
| 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.