MR. JETHRO ART HERNANDEZ GATDULA (NPI# 1861436131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861436131 |
| Entity Type | Individual |
| Full Name | MR. JETHRO ART HERNANDEZ GATDULA |
| Credential | PT |
| Practice Address |
152 Ne 167th St 101 Miami FL 33162-3400 |
| Mailing Address |
2815 N Course Dr 106 B Pompano Beach FL 33069-3075 |
| Practice Telephone | 3059499866 |
| Practice Fax Number | 3059494844 |
| Mailing Telephone | 9546963464 |
| Mailing Fax Number | 9549709291 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2251N0400X |
Physical Therapist Specialization: Neurology |
PT21281 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT21281 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
152 NE 167TH ST 101 |
| City | MIAMI |
| State | FL |
| Zip Code | 33162-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447330048 | Nicholas Suite | Psychiatry & Neurology | 152 Ne 167th St, Miami, FL 33162-3400 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649781 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 930 North Miami Beach Blvd, North Miami Beach, FL 33162 | 2020-11-03 |
| 1336750801 | Asure Wound Solutions LLC | Durable Medical Equipment & Medical Supplies | 1202 Northeast 176th Street, North Miami Beach, FL 33162 | 2020-08-10 |
| 1790301117 | Sherleene Monbrun | Assistant Behavior Analyst | 16201 Ne, North Miami Beach, FL 33162 | 2020-06-22 |
| 1659939692 | Drubi Dental | Dentist | 18140 Ne 19th Ave, North Miami Beach, FL 33162 | 2019-06-04 |
| 1003389297 | Courtney Just | Specialist/Technologist | 16821 N.e. 6th Avenue, North Miami Beach, FL 33162 | 2019-01-10 |
| 1508338039 | Li Huang Kruszka | Nurse Practitioner | 16260 Ne13 Ave, North Miami Beach, FL 33162 | 2018-12-21 |
| 1194209577 | Batia Kramer | Homemaker | 2040 Ne 163rd Street, Suite 202e, Suite 202e, North Miami Beach, FL 33162 | 2018-09-20 |
| 1346734241 | Karan Rajpal | Physician Assistant | 18100 Ne 19th Ave Ste 102, North Miami Beach, FL 33162 | 2018-06-14 |
| 1265937528 | Brace Plus LLC | Durable Medical Equipment & Medical Supplies | 16770 Ne 5th Ave, North Miami Beach, FL 33162 | 2018-03-28 |
| 1851894315 | Youth and You, Inc | Clinic/Center | 2020 Ne 163rd Street Suite 203, N Miami Beach, FL 33162 | 2018-03-12 |
| Find all providers in zip 33162 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902158496 | Corinne Luria | Physical Therapist | 1621 Micanopy Ave, Miami, FL 33133-2509 | 2012-10-08 |
| 1154638120 | Emma Vega Garriga | Physical Therapist | 5120 Sw 103rd Pl, Miami, FL 33165-6244 | 2010-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337190 | Dhara Kapadia | Physical Therapist | 2152 Siena Ter, Hollywood, FL 33021-3800 | 2020-02-06 |
| 1851856942 | Matthew Estevez | Physical Therapist | 8774 Atwater Loop, Oviedo, FL 32765-5227 | 2019-02-04 |
| 1871018044 | Marsha L Quinn | Physical Therapist | 3992 Tangle Dr, Titusville, FL 32796-2261 | 2017-08-09 |
| 1164944708 | Mayo Manahan Manuel | Physical Therapist | 50 2nd St Se Fl 33880, Winter Haven, FL 33880-6300 | 2017-07-14 |
| 1669876694 | Rey Causin | Physical Therapist | 5510 Lexington Dr, Parrish, FL 34219-5802 | 2014-10-20 |
| 1083028146 | Dianne Kathleen Stinger-saldarriaga | Physical Therapist | 5870 51st St S, St Petersburg, FL 33715 | 2014-06-17 |
| 1194069773 | Vestbular Rehabilitation and Dizziness Center Inc | Physical Therapist | 2515 S State Road 7, Suite 210, Wellington, FL 33414-9334 | 2012-11-20 |
| 1144533282 | Gregory Allan Robrahn | Physical Therapist | 6010 Kenneth Rd, Fort Myers, FL 33919-1625 | 2010-07-19 |
| 1609034701 | Catherine P Holway | Physical Therapist | 10904 Myrtle Oak Ct, Palm Beach Gardens, FL 33410-3287 | 2008-05-27 |
| 1750409751 | Nicole Suzanne Hamel | Physical Therapist | 8215 113th St, Seminole, FL 33772-4128 | 2007-03-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. JETHRO ART HERNANDEZ GATDULA.
| 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.