MYL GROUP SERVICES CORP (NPI# 1265065528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265065528 |
| Entity Type | Organization |
| Organization Name | MYL GROUP SERVICES CORP |
| Practice Address |
5801 Nw 151st St Ste 101 Miami Lakes FL 33014-2437 |
| Mailing Address |
1050 93rd St Apt 5h Bay Harbor Islands FL 33154-2347 |
| Practice Telephone | 9544005479 |
| Mailing Telephone | 7869850685 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Authorized Official Name | MRS. LUNA WAHNON BENAYOUN (FAMILY ARNP) |
| Authorized Official Telephone | 7869850685 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5801 NW 151ST ST STE 101 |
| City | MIAMI LAKES |
| State | FL |
| Zip Code | 33014-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083830 | Mj Pharmacy & Discount LLC | Pharmacy | 1545 West 62nd Street, Suite 62, Hialeah, FL 33014 | 2020-04-28 |
| 1699301333 | Alexander Tamayo Ochoa | Nurse Practitioner | 5400 Nw 159 St Apt 123, Hialeah, FL 33014 | 2020-03-13 |
| 1609336114 | Edward Alexander Pardo | Counselor | 6225 Miami Lakes Drive, Hialeah, FL 33014 | 2019-03-21 |
| 1780158394 | Remedys Nutrition Cv | Pharmacy | 7331 Miami Lakes Dr, Miami Lakes, FL 33014 | 2019-01-16 |
| 1962993642 | Yuleika Rodriguez Gonzalez | Behavior Technician | 6961 W 14th Ct Apt 203, Hialeah, FL 33014 | 2018-05-29 |
| 1730676719 | Bright Steps Therapy Services LLC | Physical Therapy Assistant | 1900 W 68th St Apt E306, Hialeah, FL 33014 | 2018-04-16 |
| 1093211443 | One Soul Cmh Inc | Case Management | 5803 Nw 151st St Ste 202, Miami Lakes, FL 33014 | 2018-04-04 |
| 1528560331 | Yuramis Perez Salvador | Behavior Technician | 8365 W 18 Lane Dr, Hialeah, FL 33014 | 2018-03-07 |
| 1396253613 | Miami Lakes Behavioral Services Corp | Behavioral Analyst | 6001 Nw 153rd Street, Suite 157, Miami Lakes, FL 33014 | 2018-01-22 |
| 1447768452 | Ballast Medical Management, LLC. | Exclusive Provider Organization | 6001 Nw 153rd St Ste 100, Miami Lakes, FL 33014 | 2018-01-12 |
| Find all providers in zip 33014 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396818 | Gilberto Fernandez Sr. | Nurse Practitioner | 8021 Nw 166th St, Miami Lakes, FL 33016-3421 | 2020-11-05 |
| 1356949192 | Ivan A Bertot | Nurse Practitioner | 8757 Nw 139th Ter, Miami Lakes, FL 33018-7379 | 2020-10-14 |
| 1760080782 | Priscilla Pineda | Nurse Practitioner | 16165 Nw 64th Ave Apt 332, Miami Lakes, FL 33014-7534 | 2020-10-12 |
| 1205441839 | Senua Ismaray Rodriguez | Nurse Practitioner | 13961 Lake George Ct, Miami Lakes, FL 33014-3042 | 2020-09-10 |
| 1316559388 | Vivian Valenzuela Blanco | Nurse Practitioner | 7834 Nw 165th St, Miami Lakes, FL 33016-8404 | 2020-08-20 |
| 1730797952 | Yenisley Matos | Nurse Practitioner | 14875 Nw 77th Ave Ste 100, Miami Lakes, FL 33014-2568 | 2020-07-14 |
| 1578180311 | Armando Yoanny Estevez Diaz | Nurse Practitioner | 14757 Breckness Pl, Miami Lakes, FL 33016-1487 | 2020-06-27 |
| 1578183521 | Roberto Modesto Garcia De Varona | Nurse Practitioner | 7346 Sabal Dr, Miami Lakes, FL 33014-2523 | 2020-04-20 |
| 1184259053 | Leticia Mora | Nurse Practitioner | 8917 Nw 146th Ter, Miami Lakes, FL 33018-7311 | 2020-03-11 |
| 1659905651 | Haydee Maritza Rosa | Nurse Practitioner | 8831 Nw 153rd Ter, Miami Lakes, FL 33018-1355 | 2020-02-27 |
| Find all providers in MIAMI LAKES | ||||
| City | MIAMI LAKES |
| Zip Code | 33014 |
Please comment or provide details below to improve the information on MYL GROUP SERVICES CORP.
| 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.