MANAGEMENT RENAL GROUP, LLC (NPI# 1932764339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932764339 |
| Entity Type | Organization |
| Organization Name | MANAGEMENT RENAL GROUP, LLC |
| Practice Address |
4742 Sw 74th Ave Miami FL 33155-4457 |
| Mailing Address |
9701 Bel Aire Dr Cutler Bay FL 33157-7852 |
| Practice Telephone | 7864860821 |
| Mailing Telephone | 7863064118 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | MR. JORGE FERNANDEZ (OWNER) |
| Authorized Official Telephone | 7864860821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZN0300X |
Specialist/Technologist, Other Specialization: Nephrology |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
Suppliers | ||
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9701 Bel Aire Dr, Cutler Bay, FL 331577852 | 7863064118 |
| Street Address |
4742 SW 74TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33155-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987121 | Blanca Argentina Torres | Speech-Language Pathologist | 6840 Bird Rd Unit 211a, Miami, FL 33155 | 2020-09-21 |
| 1245888585 | Mila De La Caridad Broche Coego | Behavior Technician | 2247 Sw 68th Ct, Miami, FL 33155 | 2019-08-29 |
| 1265087878 | Nancy Acela Denis | Nurse Practitioner | 6791 Sw 25 Terra, Miami, FL 33155 | 2019-08-09 |
| 1700366887 | Aly Hashim | Family Medicine | 2805 Sw 75th Avenue, Miami, FL 33155 | 2018-08-17 |
| 1184115362 | Ready 2 Transfer, Inc. | Non-emergency Medical Transport (VAN) | 7811 Sw 24 Street #120, Miami, FL 33155 | 2018-05-23 |
| 1053808030 | Idalmis Pimentel Diez | Behavior Technician | 6334 Sw 30th St, Miami, FL 33155 | 2018-04-16 |
| 1225538689 | L & L Social Services LLC | Case Management | 5950 Sw 40 St, Miami, FL 33155 | 2018-02-12 |
| 1659888915 | Red Bird Dental Care | Dentist | 5771 Sw 40 St, Miami, FL 33155 | 2018-01-08 |
| 1043726474 | Jesenia Rodriguez-vila | Nurse Practitioner | 6433 Sw 29th St, Miami, FL 33155 | 2017-12-21 |
| 1326553736 | Believe Neuro-behavioral Services | Behavioral Analyst | 6700 Sw 38th St, Miami, FL 33155 | 2017-12-07 |
| Find all providers in zip 33155 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
| 1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1679038046 | Arc Dialysis Kendall LLC | Clinic/Center | 9835 Sunset Dr Ste 107, Miami, FL 33173-4648 | 2019-02-09 |
| 1982171633 | Arc Dialysis Perrine LLC | Clinic/Center | 22165 S Dixie Hwy, Miami, FL 33170 | 2018-10-31 |
| 1255833844 | Kidney Care of Kendall Dialysis Center Inc. | Clinic/Center | 13501 S.w. 136th Street, 210, Miami, FL 33186 | 2018-02-28 |
| 1386167070 | Primecare Renal Group LLC | Clinic/Center | 78 Sw 13th Ave Ste 205, Miami, FL 33135-2479 | 2017-07-25 |
| 1952848798 | Total Renal Care Inc | Clinic/Center | 1800 Sw 8th St, Miami, FL 33135-3418 | 2017-01-31 |
| 1194130252 | Vital Life Dialysis Center, LLC | Clinic/Center | 13501 Sw 136th Street, Suite 210, Miami, FL 33186 | 2014-06-27 |
| 1699102715 | Talimena Dialysis LLC | Clinic/Center | 15600 Nw 15th Ave, Ste D, Miami, FL 33169-5609 | 2013-10-03 |
| 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.