MIAMI VAMC (NPI# 1043258940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043258940 |
| Entity Type | Organization |
| Organization Name | MIAMI VAMC |
| Other Organization Name | MIAMI VA CBOC |
| Practice Address |
1492 W Flagler St Suite 102 Miami FL 33135-2209 |
| Mailing Address |
Po Box 140793 Orlando FL 32814-0793 |
| Practice Telephone | 8882631889 |
| Mailing Telephone | 8882631889 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Miami VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073565875 | Miami Vamc | Clinic/Center | 2100 Sw 10th St, Deerfield Beach, FL 33442-7690 | 2006-05-17 |
| 1750557252 | Miami Vamc | Department of Veterans Affairs (VA) Pharmacy | 9800 W Commercial Blvd, Tamarac, FL 33351-4325 | 2008-05-05 |
| 1134168529 | Miami Vamc | Clinic/Center | 7369 Sheridan St, Suite 102, Hollywood, FL 33024-2776 | 2006-06-04 |
| 1538106992 | Miami Vamc | Clinic/Center | 9800 W Commercial Blvd, Tamarac, FL 33351-4325 | 2006-06-02 |
| 1043266968 | Miami Vamc | Clinic/Center | 105662 Overseas Hwy, Key Largo, FL 33037-3010 | 2006-05-25 |
| 1588610406 | Miami Vamc | Clinic/Center | 1300 Douglas Cir, Key West, FL 33040-4536 | 2006-05-25 |
| 1366497737 | Miami Vamc | Clinic/Center | 950 N Krome Ave, Suite 401, Homestead, FL 33030-4400 | 2006-05-24 |
| 1003861071 | Miami Vamc | Clinic/Center | 3702 Washington St, Hollywood Pavilion, Suite 201, Hollywood, FL 33021-8282 | 2006-05-24 |
| 1467402263 | Miami Vamc | General Acute Care Hospital | 1201 Nw 16th St, Miami, FL 33125-1624 | 2006-05-11 |
| 1255389144 | Miami Vamc | Department of Veterans Affairs (VA) Pharmacy | 1201 Nw 16th St, Miami, FL 33125-1624 | 2006-05-04 |
| Street Address |
1492 W FLAGLER ST SUITE 102 |
| City | MIAMI |
| State | FL |
| Zip Code | 33135-2209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156911 | Gabriel D Wordlow | Social Worker | 1492 W Flagler St, Miami, FL 33135-2209 | 2018-09-04 |
| 1033650981 | Robert Butcher | Social Worker | 1492 W Flagler St, Miami, FL 33135-2209 | 2017-03-12 |
| 1689062283 | Volunteers of America | Community/Behavioral Health | 1492 W Flagler St, Miami, FL 33135-2209 | 2015-01-05 |
| 1235553256 | Terra Ladaun Prince-engram | Social Worker | 1492 W Flagler St, Miami, FL 33135-2209 | 2014-02-11 |
| 1295156693 | Lisa Mcdonald | Counselor | 1492 W Flagler St, Miami, FL 33135-2209 | 2014-01-02 |
| 1528496130 | Carlos Nicado | Social Worker | 1492 W Flagler St, Miami, FL 33135-2209 | 2013-10-16 |
| 1730475039 | Moises R Ramy | Counselor | 1492 W Flagler St, Miami, FL 33135-2209 | 2011-06-24 |
| 1235437328 | Caridad Ivon Zamora | Social Worker | 1492 W Flagler St, Miami, FL 33135-2209 | 2011-03-14 |
| 1144552829 | Walter Thomas Bradley Jr. | Social Worker | 1492 W Flagler St, Miami, FL 33135-2209 | 2010-02-05 |
| 1194056325 | Miami Va Medical Center | General Acute Care Hospital | 1492 W Flagler St, Miami, FL 33135-2209 | 2010-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601430 | Milagros Diaz Rodriguez | Behavior Technician | 1250 Sw 27 Ave, Suite 207, Miami, FL 33135 | 2020-02-20 |
| 1932739364 | Elizabeth Perez Vazquez | Behavior Technician | 1250 Sw 27 Ave Suite 207, Miami, FL 33135 | 2020-01-24 |
| 1134691660 | A&n Pharmacy Inc | Pharmacy | 1701 W. Flagler St, Suite 322, Miami, FL 33135 | 2018-12-21 |
| 1669952610 | Ileana Norma Rodriguez | Behavior Technician | 890 Sw 36th Ct, Miami, FL 33135 | 2018-08-20 |
| 1053801761 | Humberto Marchante | Massage Therapist | 327 Sw 30th Ave, Miami, FL 33135 | 2018-05-17 |
| 1336654904 | Daniela Vega | Behavior Technician | 1401 Sw 1 Street, Suite 100, Miami, FL 33135 | 2017-12-05 |
| 1609387133 | Latin Quarter Dental Pa | Clinic/Center | 1660 Sw 1 St, Miami, FL 33135 | 2017-10-24 |
| 1588173074 | Mildred E Meneses | Behavior Technician | 1971 Sw 4th St Apart 406, Miami, FL 33135 | 2017-09-27 |
| 1902320666 | Betzabeth Paredes | Behavior Technician | 429 Sw 29 Ave, Miami, FL 33135 | 2017-08-02 |
| 1386174977 | Milkos Ramon Hernandez Alvarez. | Nurse Practitioner | 2999 West Flagler St, Apt 10, Miami, FL 33135 | 2017-06-15 |
| Find all providers in zip 33135 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104031897 | Comprehensive Diagnostic Center, Inc | Clinic/Center | 7511 Nw 73rd St # 118, Miami, FL 33166-2403 | 2007-05-14 |
| 1679872600 | Us Department of Veteran Affaris | Clinic/Center | 1201 Nw 16th St, Miami, FL 33125-1624 | 2011-03-16 |
| 1982932422 | Dvamc Miami | Clinic/Center | 1201 Nw 16th St, Mailstop 112, Miami, FL 33125-1624 | 2009-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528681723 | Gainesville Vamc | Clinic/Center | 400 College Dr Ste 200, Middleburg, FL 32068-8525 | 2020-05-21 |
| 1831719715 | Orlando Vamc | Clinic/Center | 5200 Babcock St Ne Ste 101, Palm Bay, FL 32905-4639 | 2020-04-21 |
| 1851955405 | Tampa Vamc | Clinic/Center | 12920 Summerfield Crossing Blvd., Riverview, FL 33579-7210 | 2019-04-30 |
| 1316331952 | James A.haley Va Hospital | Clinic/Center | 6465 142nd Ave N Apt X205, Clearwater, FL 33760-2785 | 2015-03-20 |
| 1326436601 | Biloxi Vamc | Clinic/Center | 140 Richard Jackson Blvd, Suite 100, Panama City Beach, FL 32407-2512 | 2015-01-08 |
| 1255729505 | Tampa Vamc | Clinic/Center | 110210 Us Highway 19 North, Suite 102, New Port Richey, FL 34668-9998 | 2015-01-08 |
| 1609264738 | Orlando Vamc | Clinic/Center | 3731 S Clyde Morris Blvd, Port Orange, FL 32129-2319 | 2014-12-23 |
| 1902204167 | Tampa Vamc | Clinic/Center | 7701 Little Rd, New Port Richey, FL 34654-5403 | 2014-12-19 |
| 1386042620 | West Palm Beach Vamc | Clinic/Center | 126 Sw Chamber Ct, Port Saint Lucie, FL 34986-3496 | 2014-12-19 |
| 1629476965 | Tampa Vamc | Clinic/Center | 14014 North 46th Street, Tampa, FL 33613-9998 | 2014-12-19 |
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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.