PRIMARY PROVIDER INC. (NPI# 1215287594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215287594 |
| Entity Type | Organization |
| Organization Name | PRIMARY PROVIDER INC. |
| Practice Address |
9193 Sunset Dr Ste 210 Miami FL 33173-3487 |
| Practice Telephone | 3055955558 |
| Practice Fax Number | 3055954121 |
| Mailing Telephone | 3055955558 |
| Mailing Fax Number | 3055954121 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Authorized Official Name | JORGE PASTORIZA (OFFICER) |
| Authorized Official Telephone | 3055955558 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
FL | Allopathic & Osteopathic Physicians |
| Street Address |
9193 SUNSET DR STE 210 |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-3487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374613 | Derrick George Dyer | Behavioral Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
| 1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
| 1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
| 1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
| 1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
| 1447760749 | Irfan Saeed | Nurse Practitioner | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
| 1619491339 | Malciel Bonilla | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
| 1144744467 | Yoislan Daniel Daniel | Behavioral Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
| 1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
| 1215478276 | Leonel Diaz Rapado | Behavior Technician | 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 | 2017-03-10 |
| Find all providers in zip 33173 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114488400 | Cfl Care of Fl IIi, LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760, Miami, FL 33131-1815 | 2019-03-28 |
| 1427407410 | Dean Heller Md Pa | Internal Medicine | 9240 Sunset Dr Ste 116, Miami, FL 33173-3262 | 2016-06-09 |
| 1174970073 | Niberto A Moreno Md Pllc | Internal Medicine | 9195 Sw 72nd St Ste 200, Miami, FL 33173-3488 | 2016-05-20 |
| 1154782449 | Collaborative Cardiovascular, LLC | Internal Medicine | 11220 Sw 74th Ct, Miami, FL 33156-4520 | 2016-03-14 |
| 1295192086 | Ana M Acosta Md Pa | Internal Medicine | 330 Sw 27th Ave Ste 701, Miami, FL 33135-2968 | 2016-01-25 |
| 1851718951 | Mehrdad Ghahramani | Internal Medicine | 1320 Nw 14th St, Miami, FL 33125-1609 | 2014-03-26 |
| 1235494402 | Ricardo Javier Hernandez | Internal Medicine | 3641 S Miami Ave Ste 221, Miami, FL 33133-4219 | 2012-07-12 |
| 1215296199 | Casa De Corazon P A | Internal Medicine | 3661 S Miami Ave Ste 902, Miami, FL 33133-4214 | 2012-05-11 |
| 1457617516 | Marquand Patton Jr. | Internal Medicine | 2601 Sw 37th Ave Ste 901, Miami, FL 33133-2751 | 2012-04-03 |
| 1780977991 | Rene J Gomez Md Pa | Internal Medicine | 7400 N Kendall Dr Ste 511, Miami, FL 33156-7712 | 2011-05-20 |
| 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.