FENIX MEDICAL GROUP INC (NPI# 1952916942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952916942 |
| Entity Type | Organization |
| Organization Name | FENIX MEDICAL GROUP INC |
| Practice Address |
10590 Nw 27th St Unit E103e104 Doral FL 33172-2109 |
| Practice Telephone | 7867037944 |
| Practice Fax Number | 7866372973 |
| Mailing Telephone | 7867037944 |
| Mailing Fax Number | 7866372973 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | GEORGE ALEJANDRO PAEZ (OWNER) |
| Authorized Official Telephone | 7862197540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
10590 NW 27TH ST UNIT E103E104 |
| City | DORAL |
| State | FL |
| Zip Code | 33172-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366463 | Magela De Las Mercedes Rodriguez | Behavior Technician | 11252 Nw 6 Street, Miami, FL 33172 | 2018-11-27 |
| 1477030666 | Natacha Garcia | Behavior Technician | 181 Nw 97 Ave Apto 416, Miami, FL 33172 | 2018-07-20 |
| 1720578701 | Marisela Hernandez | Behavioral Analyst | 10825 Nw 7th St Apt 12, Miami, FL 33172 | 2018-05-15 |
| 1083113054 | Fuerza Vital Medical Institute, Corp | Speech-Language Pathologist | 8725 Nw 18 Terr Suite 209, Doral, FL 33172 | 2018-02-06 |
| 1063923522 | Kristen Nicole Otero | Counselor | 1414 Nw 107 Ave Suite 109, Doral, FL 33172 | 2017-10-23 |
| 1003327339 | All Orthopedic Supplies Corp | Prosthetic/Orthotic Supplier | 175 Fontainbleau Blvd, Ste P1, Miami, FL 33172 | 2017-10-13 |
| 1861901944 | Lyanne M Melendez | Speech-Language Pathologist | 1750 Nw 107 Ave, Unit P-901, Miami, FL 33172 | 2017-09-21 |
| 1295259166 | Family Tender Care Services Inc | Behavioral Analyst | 9360 Fontainebleau Blvd, Unit 514, Miami, FL 33172 | 2017-08-01 |
| 1992229074 | Maria F Palabez | Behavior Technician | 9369 Fontainebleau Blvd J225, Miami, FL 33172 | 2017-07-31 |
| 1700306602 | Jenny Lemus | Behavior Technician | 10200 Nw 25th St Suite 205, Doral, FL 33172 | 2017-06-21 |
| Find all providers in zip 33172 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
| 1992310122 | Bright Life Medical Services Inc | Clinic/Center | 9300 Nw 25th St Ste 205, Doral, FL 33172-1507 | 2020-09-14 |
| 1063023034 | Family Mental Health Corp | Clinic/Center | 10570 Nw 27th St Ste H102, Doral, FL 33172-2105 | 2020-08-13 |
| 1508480898 | B &v Medical Group Inc | Clinic/Center | 2500 Nw 79th Ave Ste 244, Doral, FL 33122-1087 | 2020-06-02 |
| 1770532889 | Advanced Therapeutic Choice Cmhc Inc | Clinic/Center | 4723 Nw 79th Ave, Doral, FL 33166-5403 | 2006-05-08 |
| 1538773742 | Jose Nunez | Clinic/Center | 7925 Nw 12th St, Doral, FL 33126-1827 | 2020-09-04 |
| 1033723606 | Life X Medical Center Corp | Clinic/Center | 7925 Nw 12th St, Doral, FL 33126-1827 | 2020-09-01 |
| 1992931547 | Ritz Mental Health & Substance Abuse Clinic | Clinic/Center | 10200 Nw 25th St Ste 114, Doral, FL 33172-5919 | 2009-06-09 |
| 1699944892 | Mcg Behavioral Health Inc | Clinic/Center | 3900 Nw 79th Ave, Suite 320, Doral, FL 33166-6556 | 2008-02-21 |
| 1801984505 | Florida Estate Mental Health Care, Inc. | Clinic/Center | 3900 Nw 79th Ave, Suite 820, Doral, FL 33166-6556 | 2006-10-10 |
| Find all providers in DORAL | ||||
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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.