PREFERRED CARE PARTNERS MEDICAL GROUP, INC. (NPI# 1801170964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801170964 |
| Entity Type | Organization |
| Organization Name | PREFERRED CARE PARTNERS MEDICAL GROUP, INC. |
| Other Organization Name | PREFERRED CARE PARTNERS MEDICAL GROUP OF NORTH SHORE |
| Practice Address |
1210 Nw 95th St Miami FL 33147-3318 |
| Mailing Address |
Po Box 566538 Miami FL 33256-6538 |
| Practice Telephone | 3056911820 |
| Practice Fax Number | 3056948450 |
| Mailing Telephone | 3056911820 |
| Mailing Fax Number | 3056948450 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |
| Authorized Official Name | MR. JOSEPH L CARUNCHO (PRESIDENT) |
| Authorized Official Telephone | 3056708440 |
| Authorized Official Credential | ESQ. |
| Is Organization Subpart | Y |
| Parent Organization Name | PREFERRED CARE PARTNERS MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Preferred Care Partners Medical Group of North Shore | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548545403 | Preferred Care Partners Medical Group, Inc. | General Practice | 5355 W 20th Ave, Hialeah, FL 33012-2100 | 2011-10-11 |
| 1689958829 | Preferred Care Partners Medical Group, Inc. | General Practice | 2974 Sw 8th St, Miami, FL 33135-2827 | 2011-10-06 |
| 1578847638 | Preferred Care Partners Medical Group, Inc. | General Practice | 701 Nw 57th Ave, Suite 150, Miami, FL 33126-3275 | 2011-10-06 |
| 1518241777 | Preferred Care Partners Medical Group, Inc. | General Practice | 415 W 49th St, Hialeah, FL 33012-3637 | 2011-10-06 |
| Street Address |
1210 NW 95TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33147-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902046527 | Nadine B Chipon Schoepp | Family Medicine | 1210 Nw 95th St, Miami, FL 33147-3318 | 2009-02-22 |
| 1801317748 | University Health Care North Shore, Inc. | Clinic/Center | 1210 Nw 95th St, Miami, FL 33147-3318 | 2017-06-30 |
| 1831490457 | Joseph Chi Md Pa | Internal Medicine | 1210 Nw 95th St, Miami, FL 33147-3318 | 2010-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720546708 | Sade Thornton | Adult Companion | 1214 Nw 62 Lane, Miami, FL 33147 | 2019-03-07 |
| 1760969471 | One Healthcare Solution Inc | Nurse Practitioner | 10443 Nw 29th Ct, Miami, FL 33147 | 2018-07-25 |
| 1144715178 | Damaris Tabarez | Technician, Other | 8801 Nw 33rd Court Rd, Miami, FL 33147 | 2018-06-22 |
| 1295237790 | Elaine Nunez | Behavior Technician | 3425 Nw 87th Ter, Miami, FL 33147 | 2018-03-01 |
| 1376043695 | Brownsville Wellness and Rehab Center, LLC | Chiropractor | 7900 Nw 27 Avenue Suite D11, Miami, FL 33147 | 2018-02-13 |
| 1174031199 | Jidlyne Remy Cherelus | Nurse Practitioner | 2520 Nw 75th St, Miami, FL 33147 | 2018-01-11 |
| 1356862627 | Mailanys Garcia | Behavior Technician | 3050 Nw 106th St, Miami, FL 33147 | 2017-06-27 |
| 1598290835 | Maylin Prieto Iglesias | Behavior Technician | 9031 Nw 36th Ave, Miami, FL 33147 | 2017-04-24 |
| 1033655899 | Librada Lemus | Behavior Technician | 10510 Nw 36 Ct, Miami, FL 33147 | 2017-01-17 |
| 1801331038 | Yadmila Boullosa | Behavior Technician | 1280 Nw 79th St, 303, Miami, FL 33147 | 2016-12-26 |
| Find all providers in zip 33147 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| 1942815774 | Mocasa Wellness Center Inc | General Practice | 330 Sw 27th Ave Ste 506, Miami, FL 33135-2967 | 2020-09-09 |
| 1316550163 | Asela Infante Suarez | General Practice | 13450 Sw 97th Ct, Miami, FL 33176-6105 | 2020-08-30 |
| 1740890607 | Serenity Community Mental Healthcare, LLC | General Practice | 10300 Sw 72nd St Ste 250, Miami, FL 33173-3014 | 2020-08-05 |
| 1144841776 | Simplify Home Health Pllc | General Practice | 3301 Ne 1st Ave Apt 2906, Miami, FL 33137-4174 | 2020-05-05 |
| 1104447804 | Dr Jean Pierre LLC | General Practice | 5050 Biscayne Blvd, Miami, FL 33137-3203 | 2020-05-04 |
| 1891316105 | Jorge Luis Vega Morales | General Practice | 14760 Sw 66th St, Miami, FL 33193-2039 | 2020-04-28 |
| 1518587203 | Premium Healthcare Holdings, Lllp | General Practice | 2400 Sw 69th Ave, Miami, FL 33155-1706 | 2020-04-22 |
| 1770118416 | Guido A.perez, M.d., Inc. | General Practice | 701 Nw 57th Ave Ste 260, Miami, FL 33126-2083 | 2020-03-03 |
| 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.