GUSTAVO ADOLFO RENDON (NPI# 1134442965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134442965 |
| Entity Type | Individual |
| Full Name | GUSTAVO ADOLFO RENDON |
| Credential | P.A. |
| Practice Address |
1200 Sw 1st St Miami FL 33135-2402 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 3053242000 |
| Practice Fax Number | 8447220042 |
| Mailing Telephone | 3055002000 |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
013350 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 SW 1ST ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33135-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700861341 | Julio Orlando Gomez | General Practice | 1200 Sw 1st St, Miami, FL 33135-2402 | 2005-12-07 |
| 1306234299 | Marileidys Ortega | Social Worker | 1200 Sw 1st St, Miami, FL 33135-2402 | 2014-12-31 |
| 1881006609 | Mayra Lizette Hernandez | Registered Nurse | 1200 Sw 1st St, Miami, FL 33135-2402 | 2014-05-28 |
| 1912319823 | Berta L. Olivo | Licensed Vocational Nurse | 1200 Sw 1st St, Miami, FL 33135-2402 | 2014-05-27 |
| 1477796001 | Linda Zamora | Family Medicine | 1200 Sw 1st St, Miami, FL 33135-2402 | 2009-04-13 |
| 1073713590 | Jeanette Toymil | Pharmacist | 1200 Sw 1st St, Miami, FL 33135-2402 | 2007-07-23 |
| 1497823264 | Ronette Duverny Dominique | Pharmacist | 1200 Sw 1st St, Miami, FL 33135-2402 | 2006-12-01 |
| 1477627842 | Oberto Torres Rafael | Internal Medicine | 1200 Sw 1st St, Miami, FL 33135-2402 | 2006-11-20 |
| 1508949835 | Humana Pharmacy Inc | Pharmacy | 1200 Sw 1st St, Miami, FL 33135-2402 | 2006-10-23 |
| 1154331403 | Fernando Canada | Internal Medicine | 1200 Sw 1st St, Miami, FL 33135 | 2006-08-09 |
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| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574450 | Carlos Humberto Jaen Sr. | Physician Assistant | 1685 Sw 17th Ter, Miami, FL 33145-2809 | 2020-06-25 |
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1174037477 | Polina Dasgupta | Physician Assistant | 1390 Brickell Ave Ste 340, Miami, FL 33131-3324 | 2017-11-22 |
| 1437514247 | Evelyn Hernandez | Physician Assistant | 13024 Sw 108th Street Cir, Miami, FL 33186-3419 | 2015-12-21 |
| 1366813966 | Mabel Marichal | Physician Assistant | 13205 Sw 137th Ave Ste 221, Miami, FL 33186 | 2015-10-08 |
| 1427444033 | Tecresha Shaw | Physician Assistant | 104 Nw 145th St, Miami, FL 33168-4930 | 2015-04-09 |
| 1356730964 | Christopher Alvaro Ortiz | Physician Assistant | 9401 Sw 105th Ave, Miami, FL 33176-2623 | 2015-01-20 |
| 1275937948 | Nicole Quicuti | Physician Assistant | 12061 Sw 126th Ter, Miami, FL 33186-6107 | 2014-10-09 |
| 1356750541 | Jonathan E Delvalle | Physician Assistant | 2400 Nw 54th St, Miami, FL 33142-2946 | 2014-08-13 |
| 1164853149 | Melissa Troha | Physician Assistant | 7800 Sw 87th Ave # B200, Miami, FL 33173 | 2013-12-02 |
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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.