KRISTOPHER JACQUES PAULTRE (NPI# 1114381118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114381118 |
| Entity Type | Individual |
| Full Name | KRISTOPHER JACQUES PAULTRE |
| Credential | MD |
| Practice Address |
13707 Sw 152nd St Miami FL 33177-1106 |
| Mailing Address |
1111 Sw 1st Ave Apt 2620 Miami FL 33130-5408 |
| Practice Telephone | 3055859200 |
| Mailing Telephone | 9547328726 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2019-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME137411 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | FL | Student, Health Care |
| Street Address |
13707 SW 152ND ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33177-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881680288 | John Halpern | Emergency Medicine | 13707 Sw 152nd St, Miami, FL 33177-1106 | 2005-09-21 |
| 1679937817 | Makandall Saint Eloi | Family Medicine | 13707 Sw 152nd St, Miami, FL 33177-1106 | 2016-04-13 |
| 1710341235 | Mandeep Kaur Suri | Family Medicine | 13707 Sw 152nd St, Miami, FL 33177-1106 | 2016-04-11 |
| 1457714859 | Ingrid L Gutierrez | Family Medicine | 13707 Sw 152nd St, Miami, FL 33177-1106 | 2016-04-01 |
| 1306216528 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 13707 Sw 152nd St, Miami, FL 33177-1106 | 2015-09-30 |
| 1295129484 | Vanessa Ursula Alvarez Castellares | Family Medicine | 13707 Sw 152nd St, Miami, FL 33177-1106 | 2015-03-25 |
| 1093129793 | Katherine Martineau | Family Medicine | 13707 Sw 152nd St, Miami, FL 33177 | 2014-06-20 |
| 1679990741 | Tatiana Giraldo-vivas | Family Medicine | 13707 Sw 152nd St, Miami, FL 33177-1106 | 2014-03-26 |
| 1679905707 | Stephen Noel Henry | Family Medicine | 13707 Sw 152nd St, Miami, FL 33177-1106 | 2013-07-31 |
| 1346553112 | Ambert Louis | Emergency Medicine | 13707 Sw 152nd St, Miami, FL 33177-1106 | 2010-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396369351 | Damaris Perez Bobey | Behavior Technician | 13755 Sw 181 St, Miami, FL 33177 | 2020-06-04 |
| 1881232221 | South Kendall Dentistry, Pa | Dentist | 15201 Sw 127th Ave., Suite 3, Miami, FL 33177 | 2019-12-17 |
| 1538710314 | Angela Moreno | Behavior Technician | 20155 Sw 129 Ave, Miami, FL 33177 | 2019-09-24 |
| 1811473317 | Life Residential LLC | Assisted Living Facility | 13431 S.w. 178 St., Miami, FL 33177 | 2018-07-17 |
| 1639655863 | Jose Martin Jacobo Remedios | Non-emergency Medical Transport (VAN) | 11825 Sw 208th Ter, Miami, FL 33177 | 2018-07-11 |
| 1497258867 | Yanet Arias Ramirez | Behavior Technician | 12301 Sw 191 St, Miami, FL 33177 | 2018-03-13 |
| 1558876003 | Dalina Maria Blanco I | Behavior Technician | 15982 Sw 138th Ct, Miami, FL 33177 | 2017-12-06 |
| 1679082119 | Esperanza's Alf, Inc. | Assisted Living Facility | 14336 Sw 172 St., Miami, FL 33177 | 2017-09-27 |
| 1720506553 | Ledys Cagigas | Behavioral Analyst | 14430 Sw 180th St, Miami, FL 33177 | 2017-08-31 |
| 1073031043 | Mary Celeste Da Gama-freites | Behavior Technician | 13249 Sw 200 Terrace, Miami, FL 33177 | 2017-08-30 |
| Find all providers in zip 33177 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912550 | Wound Integrity Florida Pa | Family Medicine | 111 Ne 1st St # 1011, Miami, FL 33132-2506 | 2020-11-03 |
| 1700486933 | Orlando Jorge Diaz | Family Medicine | 6231 Sw 138th Ct Apt N, Miami, FL 33183-2095 | 2020-10-27 |
| 1386242402 | Michelle Andrea Von Der Heyde | Family Medicine | 2806 Sw 145th Ct, Miami, FL 33175-7479 | 2020-10-12 |
| 1558968008 | Vera Medical Practice LLC | Family Medicine | 6741 Coral Way Ste 44, Miami, FL 33155-1767 | 2020-10-07 |
| 1396342069 | Navarro Medical Centers LLC | Family Medicine | 10240 Sw 56th St Ste 101, Miami, FL 33165-7066 | 2020-10-06 |
| 1477160513 | Marta Yamilex Herrera Lorenzo | Family Medicine | 500 Sw 120th Ave, Miami, FL 33184-1643 | 2020-09-23 |
| 1336753482 | Vielka D Centeno | Family Medicine | 13244 Sw 111th Ter Apt 2, Miami, FL 33186-4364 | 2020-09-06 |
| 1164031670 | Yanet Ybanez Alvarez | Family Medicine | 6201 Coral Lake Dr, Miami, FL 33155-5938 | 2020-07-30 |
| 1093323107 | Jalima Jimenez Morejon | Family Medicine | 23103 Sw 107th Pl, Miami, FL 33170-7545 | 2020-07-15 |
| 1548878655 | Lisandra Franco Porto | Family Medicine | 2001 Ludlam Rd Apt 335, Miami, FL 33155-1898 | 2020-07-15 |
| 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.