PUBLIC HEALTH TRUST OF DADE COUNTY (NPI# 1295809606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295809606 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH TRUST OF DADE COUNTY |
| Other Organization Name | PHT DR RAFAEL A PENALVER CLINIC |
| Practice Address |
971 Nw 2nd St Miami FL 33128-1205 |
| Mailing Address |
1611 Nw 12th Ave Miami FL 33136-1005 |
| Practice Telephone | 3055455180 |
| Mailing Telephone | 3055858957 |
| Mailing Fax Number | 3055855259 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-08-30 |
| Authorized Official Name | FRANK J BARRETT (EXECUTIVE VP, CFO) |
| Authorized Official Telephone | 3055857137 |
| Is Organization Subpart | Y |
| Parent Organization Name | PUBLIC HEALTH TRUST OF DADE COUNTY |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PHT Dr Rafael A Penalver Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538494752 | Public Health Trust of Dade County | Prosthetic/Orthotic Supplier | 1611 Nw 12th Ave, Rehab Building, Room 129, Miami, FL 33136-1005 | 2009-10-06 |
| 1770653032 | Public Health Trust of Dade County | Emergency Medicine | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2006-11-08 |
| 1821174186 | Public Health Trust of Dade County | Transplant Surgery | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2006-10-30 |
| 1497772263 | Public Health Trust of Dade County | Clinic/Center | 6601 Sw 62nd Ave, South Miami, FL 33143-3300 | 2006-07-16 |
| Street Address |
971 NW 2ND ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33128-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598701823 | Teatino Ernesto Camacho | Family Medicine | 971 Nw 2nd St, Miami, FL 33128-1205 | 2006-06-22 |
| 1669982773 | Ana Maria Caycedo | Dental Hygienist | 971 Nw 2nd St, Miami, FL 33128-1205 | 2017-10-03 |
| 1356619456 | Wellness Rx At Penalver LLC | Pharmacy | 971 Nw 2nd St, Miami, FL 33128-1205 | 2011-12-05 |
| 1851671564 | Tomas Julian Garcia | Physician Assistant | 971 Nw 2nd St, Miami, FL 33128-1205 | 2011-08-25 |
| 1306126016 | Danielle Nicole Gutierrez | Physician Assistant | 971 Nw 2nd St, Miami, FL 33128-1205 | 2011-08-25 |
| 1316247026 | Youssef Mouhayar | Obstetrics & Gynecology | 971 Nw 2nd St, Miami, FL 33128-1205 | 2010-10-27 |
| 1700116696 | John Sragowicz | Physician Assistant | 971 Nw 2nd St, Miami, FL 33128-1205 | 2009-12-28 |
| 1003058330 | Madeline De Los Milagros Castro | Internal Medicine | 971 Nw 2nd St, Miami, FL 33128-1205 | 2009-04-01 |
| 1598930653 | Marie-sonie Jeannot | Pharmacist | 971 Nw 2nd St, Miami, FL 33128-1205 | 2008-04-29 |
| 1194851428 | Deborah Susan Carlone | Internal Medicine | 971 Nw 2nd St, Miami, FL 33128-1205 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033662176 | Clara Herrera | Behavior Technician | 652 Nw 3rd St Apt 201, Miami, FL 33128 | 2016-07-25 |
| 1851715254 | Marlins Pharmacy & Discount Inc | Pharmacy | 439-441 Nw 12 Ave, Miami, FL 33128 | 2014-02-06 |
| 1083959589 | Santiago Alejandre | Occupational Therapist | 899 Nw 3rd St, Miami, FL 33128 | 2012-12-10 |
| 1538255146 | Juan Antonio Enriquez | Family Medicine | 237 Nw 12th Ave, Suite A-d, Miami, FL 33128 | 2006-10-04 |
| 1134259518 | Howard Levine | Dentist | 127 Nw 12th Ave, Miami, FL 33128-1008 | 2007-03-06 |
| 1154921757 | Belkys Clavero Fernandez | Dental Hygienist | 127 Nw 12th Ave, Miami, FL 33128-1008 | 2020-11-01 |
| 1013418318 | Caring Dental Services | Dentist | 127 Nw 12th Ave, Miami, FL 33128-1008 | 2018-02-22 |
| 1730617846 | Howard Levine Dds, Pa | Dentist | 127 Nw 12th Ave, Miami, FL 33128-1008 | 2017-06-02 |
| 1053627125 | Elizabeth Montalvo | Counselor | 101 Nw 12th Ave, Miami, FL 33128-1008 | 2010-08-26 |
| 1649223504 | Healthy Minds Cmhc Inc | Clinic/Center | 101 Nw 12th Ave, Miami, FL 33128-1008 | 2006-05-19 |
| Find all providers in zip 33128 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334126 | Friedman Dental Group Miami, Pllc | Clinic/Center | 1717 N Bayshore Dr Ste 219, Miami, FL 33132-1196 | 2020-10-21 |
| 1952916306 | Simmons Services LLC | Clinic/Center | 2500 Sw 107th Ave Ste 45, Miami, FL 33165-2492 | 2020-09-12 |
| 1912511361 | Brickell Dentistry Pa | Clinic/Center | 444 Brickell Ave Ste 48, Miami, FL 33131-2403 | 2020-09-03 |
| 1700498466 | Tamar Justin | Clinic/Center | 261 Nw 149th St, Miami, FL 33168-4215 | 2020-08-23 |
| 1912517871 | Smiling Dental Studio Corp | Clinic/Center | 825 Sw 87th Ave Ste 2g, Miami, FL 33174-3253 | 2020-08-05 |
| 1578172763 | Flavio A Kottar Dds, P.a. | Clinic/Center | 3683 S Miami Ave Ste 305, Miami, FL 33133-4253 | 2020-07-24 |
| 1083237903 | Juan Diego Cardenas Dds Inc. | Clinic/Center | 7775 Sw 87th Ave Ste 112, Miami, FL 33173-2536 | 2020-05-27 |
| 1275181315 | Floridental Clinic | Clinic/Center | 9240 Sw 72nd St Ste 115, Miami, FL 33173-3262 | 2019-09-02 |
| 1902453756 | Smile Mission, Pllc | Clinic/Center | 9900 Sw 168th St, Miami, FL 33157-4378 | 2019-08-26 |
| 1548728223 | I & S Dental Services, Inc. | Clinic/Center | 8950 Sw 74th Ct Ste 1202, Miami, FL 33156-3170 | 2019-03-12 |
| 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.