PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA (NPI# 1033283445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033283445 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA |
| Other Organization Name | PHT DR RAFAEL A PENALVER CLINIC |
| Practice Address |
971 Nw 2nd St Miami FL 33128-1205 |
| Mailing Address |
Po Box 12493 Miami FL 33101-2493 |
| Practice Telephone | 3055855455 |
| Practice Fax Number | 3055855259 |
| Mailing Telephone | 7864668080 |
| Mailing Fax Number | 3053555380 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | MR. MARK T KNIGHT (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 3055857979 |
| Is Organization Subpart | Y |
| Parent Organization Name | PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010042134 | 05 |
| Other Name | Type Code |
|---|---|
| PHT Dr Rafael A Penalver Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783509 | Public Health Trust of Miami Dade County Florida | General Acute Care Hospital | 2801 Nw 79th Ave, Doral, FL 33122-1174 | 2020-09-08 |
| 1356883011 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 7400 Nw 104th Ave, Suite D 101, Doral, FL 33178-3332 | 2016-11-12 |
| 1225409683 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 18910 S Dixie Hwy, Cutler Bay, FL 33157-7711 | 2015-10-12 |
| 1801966676 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 28205 Sw 125th Ave, Homestead, FL 33033-1250 | 2006-11-09 |
| 1659441871 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 615 Collins, Miami Beach, FL 33139-6213 | 2006-11-08 |
| 1114944089 | Public Health Trust of Miami Dade County Florida | General Practice | 14101 Nw 8th Ave, Miami, FL 33168-6816 | 2006-07-16 |
| 1225033020 | Public Health Trust of Miami Dade County Florida | General Acute Care Hospital | 1611 Nw 12th Street, Miami, FL 33136-1005 | 2005-06-17 |
| 1063417483 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 15055 Nw 27 Avenue, Opa-locka, FL 33054-3365 | 2005-06-14 |
| 1194289157 | Public Health Trust of Miami Dade County Florida | Pharmacy | 9333 Sw 152nd Street, Miami, FL 33157 | 2019-01-24 |
| 1306216528 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 13707 Sw 152nd St, Miami, FL 33177-1106 | 2015-09-30 |
| Street Address |
971 NW 2ND ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33128-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598701823 | Teatino Ernesto Camacho | Family Medicine | 971 Nw 2nd St, Miami, FL 33128-1205 | 2006-06-22 |
| 1669982773 | Ana Maria Caycedo | Dental Hygienist | 971 Nw 2nd St, Miami, FL 33128-1205 | 2017-10-03 |
| 1356619456 | Wellness Rx At Penalver LLC | Pharmacy | 971 Nw 2nd St, Miami, FL 33128-1205 | 2011-12-05 |
| 1851671564 | Tomas Julian Garcia | Physician Assistant | 971 Nw 2nd St, Miami, FL 33128-1205 | 2011-08-25 |
| 1306126016 | Danielle Nicole Gutierrez | Physician Assistant | 971 Nw 2nd St, Miami, FL 33128-1205 | 2011-08-25 |
| 1316247026 | Youssef Mouhayar | Obstetrics & Gynecology | 971 Nw 2nd St, Miami, FL 33128-1205 | 2010-10-27 |
| 1700116696 | John Sragowicz | Physician Assistant | 971 Nw 2nd St, Miami, FL 33128-1205 | 2009-12-28 |
| 1003058330 | Madeline De Los Milagros Castro | Internal Medicine | 971 Nw 2nd St, Miami, FL 33128-1205 | 2009-04-01 |
| 1598930653 | Marie-sonie Jeannot | Pharmacist | 971 Nw 2nd St, Miami, FL 33128-1205 | 2008-04-29 |
| 1194851428 | Deborah Susan Carlone | Internal Medicine | 971 Nw 2nd St, Miami, FL 33128-1205 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033662176 | Clara Herrera | Behavior Technician | 652 Nw 3rd St Apt 201, Miami, FL 33128 | 2016-07-25 |
| 1851715254 | Marlins Pharmacy & Discount Inc | Pharmacy | 439-441 Nw 12 Ave, Miami, FL 33128 | 2014-02-06 |
| 1083959589 | Santiago Alejandre | Occupational Therapist | 899 Nw 3rd St, Miami, FL 33128 | 2012-12-10 |
| 1538255146 | Juan Antonio Enriquez | Family Medicine | 237 Nw 12th Ave, Suite A-d, Miami, FL 33128 | 2006-10-04 |
| 1134259518 | Howard Levine | Dentist | 127 Nw 12th Ave, Miami, FL 33128-1008 | 2007-03-06 |
| 1154921757 | Belkys Clavero Fernandez | Dental Hygienist | 127 Nw 12th Ave, Miami, FL 33128-1008 | 2020-11-01 |
| 1013418318 | Caring Dental Services | Dentist | 127 Nw 12th Ave, Miami, FL 33128-1008 | 2018-02-22 |
| 1730617846 | Howard Levine Dds, Pa | Dentist | 127 Nw 12th Ave, Miami, FL 33128-1008 | 2017-06-02 |
| 1053627125 | Elizabeth Montalvo | Counselor | 101 Nw 12th Ave, Miami, FL 33128-1008 | 2010-08-26 |
| 1649223504 | Healthy Minds Cmhc Inc | Clinic/Center | 101 Nw 12th Ave, Miami, FL 33128-1008 | 2006-05-19 |
| Find all providers in zip 33128 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1326673013 | Prestige Healthcare Group | Clinic/Center | 1800 Sw 1st St Ste 320, Miami, FL 33135-1964 | 2020-03-03 |
| 1952933939 | La O Community Health, Inc | Clinic/Center | 7392 Nw 35th Ter Ste 309, Miami, FL 33122-1260 | 2020-02-07 |
| 1164061255 | Bladez Medical Center Inc | Clinic/Center | 8420 W Flagler St Ste 224, Miami, FL 33144-2046 | 2020-01-06 |
| 1720629900 | Soma Health and Wellness Center, Inc | Clinic/Center | 11010 Sw 88th St Ste 104, Miami, FL 33176-1205 | 2019-09-30 |
| 1992202758 | Elitemd Inc | Clinic/Center | 2960 Ne 207th St Unit 1108, Miami, FL 33180-1455 | 2018-04-09 |
| 1902312754 | Clinica Las Mercedes II, Inc | Clinic/Center | 9853 Sw 40 Street, Miami, FL 33165 | 2017-12-15 |
| 1164962197 | Healthworks Med Group of Florida P A | Clinic/Center | 6505 Blue Lagoon Dr, 2nd Floor, Miami, FL 33126-6009 | 2017-02-23 |
| 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.