TINA MEHRANI PLAZA (NPI# 1164686861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164686861 |
| Entity Type | Individual |
| Full Name | TINA MEHRANI PLAZA |
| Credential | PA-C |
| Practice Address |
11750 Sw 40th St Miami FL 33175-3530 |
| Mailing Address |
1630 Cleveland Rd Miami Beach FL 33141-1719 |
| Practice Telephone | 3052272415 |
| Mailing Telephone | 2409947707 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2012-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9105070 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
0110002803 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11750 SW 40TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164476313 | Gregory J Alfred | Emergency Medicine | 11750 Sw 40th St, Kendall Regional Medical Center Emergency Dept, Miami, FL 33175-3530 | 2006-05-20 |
| 1033710082 | Daniel Fortich | Registered Nurse | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-11-05 |
| 1609492685 | Luis Alberto Cardenas | Nurse Practitioner | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-06-24 |
| 1982227807 | Carlos Luis Rio Santana | Nurse Practitioner | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-05-27 |
| 1710516067 | Kevin Warren | Student in an Organized Health Care Education/Training Program | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-04-07 |
| 1962031344 | Alvaro Castro | Student in an Organized Health Care Education/Training Program | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-04-07 |
| 1902435027 | Leo Berman Ferretti | Student in an Organized Health Care Education/Training Program | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-04-02 |
| 1073141644 | Andres Felipe Sanchez | Student in an Organized Health Care Education/Training Program | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-03-30 |
| 1669000345 | John Dennis Ehrhardt Jr. | Student in an Organized Health Care Education/Training Program | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-03-30 |
| 1235767062 | Karolyna Mercedes Rey | Student in an Organized Health Care Education/Training Program | 11750 Sw 40th St, Miami, FL 33175-3530 | 2020-03-28 |
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| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1043820889 | Dave Norman Caldera Jr. | Physician Assistant | 5440 Sw 150th Ct, Miami, FL 33185-4012 | 2020-08-06 |
| 1003432063 | Nicole Marlene Socarras | Physician Assistant | 8585 Sunset Dr Ste 108, Miami, FL 33143-3746 | 2020-06-24 |
| 1245854504 | Laurent Augustin | Physician Assistant | 15608 Sw 112th Dr, Miami, FL 33196-4391 | 2020-06-02 |
| 1780213363 | Amanda C. Fisher | Physician Assistant | 175 Sw 7th St Ste 24082409, Miami, FL 33130-2992 | 2020-04-06 |
| 1184258279 | Ryan Walker | Physician Assistant | 175 Sw 7th St Ste 1100, Miami, FL 33130-2951 | 2020-02-27 |
| 1033749015 | Christy Anne Perez | Physician Assistant | 41 Se 5th St Apt 2215, Miami, FL 33131-2550 | 2020-01-18 |
| 1689204729 | Nathali Eiranova | Physician Assistant | 14735 Sw 36th Ter, Miami, FL 33185-3913 | 2020-01-16 |
| 1649810623 | Jeanine Marie Cuervo | Physician Assistant | 15543 Sw 55th Ter, Miami, FL 33185-4176 | 2020-01-08 |
| 1649814930 | Danette Blanco | Physician Assistant | 3930 Nw 2nd St, Miami, FL 33126-5712 | 2019-10-30 |
| 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.