ANDREW BANUELOS (NPI# 1891314894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891314894 |
| Entity Type | Individual |
| Full Name | ANDREW BANUELOS |
| Credential | MD |
| Practice Address |
8201 W Broward Blvd Fl 33324 Plantation FL 33324-2701 |
| Mailing Address |
10310 Barnes Dr Bakersfield CA 93311-3060 |
| Practice Telephone | 6614313434 |
| Mailing Telephone | 6614313434 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
8201 W BROWARD BLVD FL 33324 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427613728 | Susanne Murphy | Student in an Organized Health Care Education/Training Program | 70 Sw 91st Ave Apt 210, Plantation, FL 33324-2548 | 2019-05-02 |
| 1578127874 | Raquelle Suzanne Newman | Student in an Organized Health Care Education/Training Program | 202 Sw 63rd Ter, Plantation, FL 33317-3435 | 2019-04-23 |
| 1437712346 | Amanda Catherine Lange | Student in an Organized Health Care Education/Training Program | 1430 Sw 66th Ter, Plantation, FL 33317-5132 | 2019-04-16 |
| 1982167326 | Alexandrea Rekas | Student in an Organized Health Care Education/Training Program | 1321 Campanelli Dr, Plantation, FL 33322-4534 | 2019-04-11 |
| 1366979080 | Maxwell Kligerman | Student in an Organized Health Care Education/Training Program | 9501 Nw 13th St, Plantation, FL 33322-4809 | 2017-05-11 |
| 1437525177 | Stacey Mccaffrey | Student in an Organized Health Care Education/Training Program | 430 Commodore Dr, Apt 212, Plantation, FL 33325-2171 | 2015-08-17 |
| 1114169737 | Jonelle Crichton | Student in an Organized Health Care Education/Training Program | 100 Jacaranda Country Club Dr, #200, Plantation, FL 33324-2510 | 2009-03-27 |
| 1588875728 | Tiffanie Bernard | Student in an Organized Health Care Education/Training Program | 6901 Cypress Rd Apt B13, Plantation, FL 33317-2350 | 2007-05-26 |
| 1427677186 | David Elias Philipides | Student in an Organized Health Care Education/Training Program | 8201 W Broward Blvd, Plantation, FL 33324-2701 | 2020-04-13 |
| 1295354033 | Thomas Charles Arena | Student in an Organized Health Care Education/Training Program | 8201 W Broward Blvd, Plantation, FL 33324-2701 | 2020-04-12 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33324 |
Please comment or provide details below to improve the information on ANDREW BANUELOS.
| 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.