INTERAMERICAN MEDICAL CENTER GROUP LLC (NPI# 1790064392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790064392 |
| Entity Type | Organization |
| Organization Name | INTERAMERICAN MEDICAL CENTER GROUP LLC |
| Other Organization Name | IMC HEALTH |
| Practice Address |
4155 Sw 130th Ave 201 Miami FL 33175-3414 |
| Mailing Address |
1000 Nw 57th Ct Ste 200 Miami FL 33126-3284 |
| Practice Telephone | 3054553500 |
| Practice Fax Number | 3055534909 |
| Mailing Telephone | 3056498100 |
| Mailing Fax Number | 3056498778 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2018-09-21 |
| Authorized Official Name | MR. BILL LAMOREAUX (CEO) |
| Authorized Official Telephone | 3056498100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| IMC Health | Doing Business As Name - Organization |
| interamerican medical center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467994582 | Interamerican Medical Center Group LLC | Family Medicine | 7165 W Flagler St, Miami, FL 33144-2601 | 2016-11-07 |
| 1982146122 | Interamerican Medical Center Group LLC | Family Medicine | 11312-a Quail Roost Drive, Miami, FL 33157 | 2016-11-04 |
| 1205246766 | Interamerican Medical Center Group LLC | Family Medicine | 8530 Sw 8th St, Miami, FL 33144 | 2014-05-05 |
| 1154758936 | Interamerican Medical Center Group LLC | Family Medicine | 8010 W Colonial Dr Unit 146-162, Orlando, FL 32818-6101 | 2013-10-10 |
| 1790121325 | Interamerican Medical Center Group LLC | Internal Medicine | 15105 Nw 77th Ave, Miami Lakes, FL 33014-7803 | 2013-05-22 |
| 1336376573 | Interamerican Medical Center Group LLC | Family Medicine | 7900 Nw 27th Ave Ste D10, Miami, FL 33147-4909 | 2009-06-15 |
| 1316198583 | Interamerican Medical Center Group LLC | Family Medicine | 5378 W 16 Ave, Hialeah, FL 33012-4300 | 2008-10-07 |
| 1275606832 | Interamerican Medical Center Group LLC | Family Medicine | 1435 Ne 8th St, Homestead, FL 33033-4506 | 2006-11-15 |
| 1790731495 | Interamerican Medical Center Group LLC | Family Medicine | 7101 W Flagler St, Miami, FL 33144-2601 | 2006-05-25 |
| 1669924460 | Interamerican Medical Center Group LLC | Family Medicine | 8300 W Flagler St Ste 112, Miami, FL 33144-2096 | 2016-10-27 |
| Street Address |
4155 SW 130TH AVE 201 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053338079 | Paradise Home Health, Inc. | Home Health | 4155 Sw 130th Ave, Ste. # 114, Miami, FL 33175-3414 | 2006-07-16 |
| 1952853467 | Esneido Almeida Gutierrez | Nurse Practitioner | 4155 Sw 130th Ave, Miami, FL 33175-3414 | 2016-10-31 |
| 1427508654 | Inter Home Health Services Inc | Home Health | 4155 Sw 130th Ave, Suite #114, Miami, FL 33175-3414 | 2016-10-12 |
| 1790168920 | Maikel Danger | General Practice | 4155 Sw 130th Ave, Miami, FL 33175-3414 | 2015-07-07 |
| 1952670317 | Good Hands Medical Center | Rehabilitation Unit | 4155 Sw 130th Ave, 205, Miami, FL 33175-3414 | 2011-12-14 |
| 1659609410 | Ines Rodriguez | Nurse Practitioner | 4155 Sw 130th Ave, Suite 201, Miami, FL 33175-3414 | 2009-12-05 |
| 1205164902 | Lg Diagnostic Center Inc | Clinic/Center | 4155 Sw 130th Ave, Ste 211, Miami, FL 33175-3414 | 2009-11-18 |
| 1932347036 | Jose A Esnard Md Pa | Clinic/Center | 4155 Sw 130th Ave, Ste 102, Miami, FL 33175-3414 | 2009-01-27 |
| 1235375882 | M & N Professional Services Home Health Care Inc. | Home Health | 4155 Sw 130th Ave, Ste. 114, Miami, FL 33175-3414 | 2009-01-05 |
| 1811142953 | Professional Home Health Care, Inc. | Home Health | 4155 Sw 130th Ave, Suite 212, Miami, FL 33175-3414 | 2008-11-17 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912550 | Wound Integrity Florida Pa | Family Medicine | 111 Ne 1st St # 1011, Miami, FL 33132-2506 | 2020-11-03 |
| 1700486933 | Orlando Jorge Diaz | Family Medicine | 6231 Sw 138th Ct Apt N, Miami, FL 33183-2095 | 2020-10-27 |
| 1386242402 | Michelle Andrea Von Der Heyde | Family Medicine | 2806 Sw 145th Ct, Miami, FL 33175-7479 | 2020-10-12 |
| 1558968008 | Vera Medical Practice LLC | Family Medicine | 6741 Coral Way Ste 44, Miami, FL 33155-1767 | 2020-10-07 |
| 1396342069 | Navarro Medical Centers LLC | Family Medicine | 10240 Sw 56th St Ste 101, Miami, FL 33165-7066 | 2020-10-06 |
| 1477160513 | Marta Yamilex Herrera Lorenzo | Family Medicine | 500 Sw 120th Ave, Miami, FL 33184-1643 | 2020-09-23 |
| 1336753482 | Vielka D Centeno | Family Medicine | 13244 Sw 111th Ter Apt 2, Miami, FL 33186-4364 | 2020-09-06 |
| 1164031670 | Yanet Ybanez Alvarez | Family Medicine | 6201 Coral Lake Dr, Miami, FL 33155-5938 | 2020-07-30 |
| 1093323107 | Jalima Jimenez Morejon | Family Medicine | 23103 Sw 107th Pl, Miami, FL 33170-7545 | 2020-07-15 |
| 1548878655 | Lisandra Franco Porto | Family Medicine | 2001 Ludlam Rd Apt 335, Miami, FL 33155-1898 | 2020-07-15 |
| 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.