HATHOR WELLCARE CENTER INC (NPI# 1093254716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093254716 |
| Entity Type | Organization |
| Organization Name | HATHOR WELLCARE CENTER INC |
| Practice Address |
14269 Sw 42nd St Miami FL 33175-6408 |
| Mailing Address |
14269 Sw 42nd Street Miami FL 33175-6408 |
| Practice Telephone | 7864522751 |
| Practice Fax Number | 3055036760 |
| Mailing Telephone | 7864521751 |
| Mailing Fax Number | 7867033312 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | MR. PEDRO RAFAEL FAJARDO POMPA (OWNER/PRESIDENT) |
| Authorized Official Telephone | 7864521751 |
| Authorized Official Credential | MASSAGE THERAPIS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | Other Service Providers |
| Street Address |
14269 SW 42ND ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-6408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851832075 | Cyndi Caballero | Prevention Professional | 253 Ne 2nd St Apt 610, Miami, FL 33132-2289 | 2017-03-20 |
| 1316486111 | Samuel Castillo | Prevention Professional | 7323 Sw 134th Pl, Miami, FL 33183-3241 | 2017-02-14 |
| 1245775345 | Grisseel Cruz-espaillat | Prevention Professional | 2101 Nw 117th Ave, Miami, FL 33172-1864 | 2016-12-27 |
| 1669909321 | Carlos A Diaz | Prevention Professional | 1900 Brickell Ave, Miami, FL 33129-1719 | 2017-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093293300 | Doreen Moroney | Prevention Professional | 2221 Harrison St, Titusville, FL 32780-4611 | 2018-07-30 |
| 1386130003 | Harvestreapersintl Chaplain Association | Prevention Professional | 5460 N State Road 7 Ste 122, Ft Lauderdale, FL 33319-2968 | 2018-07-05 |
| 1851807150 | Pink Wildlife LLC | Prevention Professional | 5130 Main St Ste 3, New Port Richey, FL 34652-2105 | 2017-12-21 |
| 1306371794 | Rami Brown | Prevention Professional | 126 White Fawn Dr, Daytona Beach, FL 32114-1459 | 2017-04-24 |
| 1417481698 | Maureen Holdreith Digulimio | Prevention Professional | 13755 Oleander Ave, Juno Beach, FL 33408-1623 | 2017-04-14 |
| 1164963922 | Greg Perkins | Prevention Professional | 2161 Lake Debra Dr, Suite 1716, Orlando, FL 32835-6378 | 2017-03-13 |
| 1356888366 | Acucentral LLC | Prevention Professional | 8180 Nw 36th St Ste 304, Doral, FL 33166-6660 | 2017-01-28 |
| 1811433295 | Caitlin Barrett | Prevention Professional | 34632 Galla Rd, Fruitland Park, FL 34731-3427 | 2017-01-10 |
| 1801331632 | Jonathan Casero | Prevention Professional | 2642 De Soto Dr, Miramar, FL 33023-4751 | 2017-01-03 |
| 1780129734 | Felicia Graham Rouse | Prevention Professional | 3344 Sw 51st Ter, Ocala, FL 34474-9484 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
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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.