EDWARD M FIDALGO (NPI# 1376548560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376548560 |
| Entity Type | Individual |
| Full Name | EDWARD M FIDALGO |
| Credential | M.D. |
| Practice Address |
3659 S Miami Ave Ste 5005 Miami FL 33133-4221 |
| Practice Telephone | 3058542899 |
| Practice Fax Number | 3058599677 |
| Mailing Telephone | 3058542899 |
| Mailing Fax Number | 3058599677 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME65256 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | ME65256 | 01 |
| FL | DEA | BF3863239 | 01 |
| FL | 376576800 | 05 |
| Street Address |
3659 S MIAMI AVE STE 5005 |
| City | MIAMI |
| State | FL |
| Zip Code | 33133-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900649 | Raj Larry Prabhakar | Student in an Organized Health Care Education/Training Program | 3659 S Miami Ave, Miami, FL 33133-4227 | 2020-10-22 |
| 1821521030 | Zeeshan Anwar | Podiatrist | 3659 S Miami Ave, Suite 3008, Miami, FL 33133-4227 | 2017-04-05 |
| 1649703935 | Yohandy Fuentes | Podiatrist | 3659 S Miami Ave, Suite 3008, Miami, FL 33133-4227 | 2017-04-04 |
| 1083002513 | Karina Hasing | Nurse Practitioner | 3659 S Miami Ave, Ste 6008, Miami, FL 33133-4227 | 2015-01-06 |
| 1316341746 | Ana C Trisan | Physician Assistant | 3659 S Miami Ave, Suite 6008, Miami, FL 33133-4227 | 2014-10-14 |
| 1063840510 | Eduardo M Martinez, Md, Pa | Surgery | 3659 S Miami Ave, Suite 4006, Miami, FL 33133-4227 | 2013-10-18 |
| 1356600753 | Francisco Smith Palacios, Pa | Internal Medicine | 3659 S Miami Ave, Suite 2005, Miami, FL 33133-4227 | 2012-05-07 |
| 1932474376 | Karen Michelle Fernandez Espinal | Internal Medicine | 3659 S Miami Ave, Suite 3005, Miami, FL 33133-4227 | 2012-03-19 |
| 1043594062 | Victor Luis Herrera | Podiatrist | 3659 S Miami Ave, Bayside, Suite 3008, Miami, FL 33133-4227 | 2011-10-10 |
| 1811285653 | Martha Sandra Linehan | Physician Assistant | 3659 S Miami Ave, Suite 4008, Miami, FL 33133-4227 | 2011-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831367 | Thelma Oliver Pyton | Case Manager/Care Coordinator | 2780 Sw 37th Avenue, Suite 206, Miami, FL 33133 | 2020-02-04 |
| 1164069456 | Jorge Alberto Lopez II | Counselor | 2780 Ssw 37th Ave, Coconut Grove, FL 33133 | 2019-12-05 |
| 1588209381 | Toni T Rice | Counselor | 2780 S.w. 37th Ave, Suite #206, Miami, FL 33133 | 2019-11-15 |
| 1720629876 | Julian De Jesus Mazuera Pelaez | Specialist/Technologist, Other | 2615 Sw 22nd Av, Apt 10, Miami, FL 33133 | 2019-09-30 |
| 1558831131 | Jessica Dehombre | Speech-Language Pathologist | 2780 Sw Douglas Road Suite 203, Miami, FL 33133 | 2018-11-27 |
| 1043723620 | Alayn Fleites Gonzalez | Behavioral Analyst | 2950 S. Dixie Hwy, Miami, FL 33133 | 2017-11-06 |
| 1942711759 | Ella Raphaelle Dufrene | Psychologist | 3244 West Trade Ave. #1, Miami, FL 33133 | 2017-10-19 |
| 1639696305 | Nanci Hellinger | Dietitian, Registered | 3659 S. Miami Ave., Suite 3003, Miami, FL 33133 | 2017-08-24 |
| 1619497922 | Yanet Bonet Mill I | Behavioral Analyst | 2740 Sw 31 Ave, Miami, FL 33133 | 2017-06-27 |
| 1619497534 | Pathwaves Incorporated | Counselor | 2503 Southwest 27 Avenue, Miami, FL 33133 | 2017-06-21 |
| Find all providers in zip 33133 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689282162 | Healing Hands Healthcare Services, LLC | Obstetrics & Gynecology | 1900 N Bayshore Dr Apt 2411, Miami, FL 33132-3012 | 2020-07-21 |
| 1376182329 | Moment Health Care Inc | Obstetrics & Gynecology | 6464 N Miami Ave, Miami, FL 33150-4520 | 2019-12-21 |
| 1801341383 | Franklin Benedict Colon Torres | Obstetrics & Gynecology | 125 Ne 32nd St Apt 1202, Miami, FL 33137-4325 | 2016-08-24 |
| 1265881171 | Jaime Dickerson | Obstetrics & Gynecology | 1150 Nw 14th St Fl 5, Miami, FL 33136-2137 | 2016-06-10 |
| 1457713158 | Antonia Zecevic | Obstetrics & Gynecology | 1120 Nw 14th St Ste 1159, Miami, FL 33136-2107 | 2016-03-22 |
| 1659767846 | Alison Simone Coll | Obstetrics & Gynecology | 8950 Sw 74th Ct Ste 2001, Miami, FL 33156-3179 | 2015-04-14 |
| 1336534304 | Jessica Alvarez | Obstetrics & Gynecology | 8940 N Kendall Dr Ste 804e, Miami, FL 33176 | 2015-04-06 |
| 1104210038 | Shlomo Tendler | Obstetrics & Gynecology | 4308 Alton Rd Ste 790, Miami, FL 33140-4558 | 2015-03-28 |
| 1497149777 | Lydia Ann Fein | Obstetrics & Gynecology | 1321 Nw 14th St Ste 201, Miami, FL 33125-1653 | 2015-03-24 |
| 1972994143 | Manuel S. Mendizabal, Md, LLC | Obstetrics & Gynecology | 7090 Sw 54th St, Miami, FL 33155-5644 | 2015-02-10 |
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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.