PRIMECARE RENAL GROUP LLC (NPI# 1386167070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386167070 |
| Entity Type | Organization |
| Organization Name | PRIMECARE RENAL GROUP LLC |
| Practice Address |
78 Sw 13th Ave Ste 205 Miami FL 33135-2479 |
| Practice Telephone | 3057463907 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |
| Authorized Official Name | MR. RAUL LOPEZ LIMA (MGR) |
| Authorized Official Telephone | 3057463907 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
FL | Ambulatory Health Care Facilities |
| Street Address |
78 SW 13TH AVE STE 205 |
| City | MIAMI |
| State | FL |
| Zip Code | 33135-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601430 | Milagros Diaz Rodriguez | Behavior Technician | 1250 Sw 27 Ave, Suite 207, Miami, FL 33135 | 2020-02-20 |
| 1932739364 | Elizabeth Perez Vazquez | Behavior Technician | 1250 Sw 27 Ave Suite 207, Miami, FL 33135 | 2020-01-24 |
| 1134691660 | A&n Pharmacy Inc | Pharmacy | 1701 W. Flagler St, Suite 322, Miami, FL 33135 | 2018-12-21 |
| 1669952610 | Ileana Norma Rodriguez | Behavior Technician | 890 Sw 36th Ct, Miami, FL 33135 | 2018-08-20 |
| 1053801761 | Humberto Marchante | Massage Therapist | 327 Sw 30th Ave, Miami, FL 33135 | 2018-05-17 |
| 1336654904 | Daniela Vega | Behavior Technician | 1401 Sw 1 Street, Suite 100, Miami, FL 33135 | 2017-12-05 |
| 1609387133 | Latin Quarter Dental Pa | Clinic/Center | 1660 Sw 1 St, Miami, FL 33135 | 2017-10-24 |
| 1588173074 | Mildred E Meneses | Behavior Technician | 1971 Sw 4th St Apart 406, Miami, FL 33135 | 2017-09-27 |
| 1902320666 | Betzabeth Paredes | Behavior Technician | 429 Sw 29 Ave, Miami, FL 33135 | 2017-08-02 |
| 1386174977 | Milkos Ramon Hernandez Alvarez. | Nurse Practitioner | 2999 West Flagler St, Apt 10, Miami, FL 33135 | 2017-06-15 |
| Find all providers in zip 33135 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
| 1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
| 1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
| 1679038046 | Arc Dialysis Kendall LLC | Clinic/Center | 9835 Sunset Dr Ste 107, Miami, FL 33173-4648 | 2019-02-09 |
| 1982171633 | Arc Dialysis Perrine LLC | Clinic/Center | 22165 S Dixie Hwy, Miami, FL 33170 | 2018-10-31 |
| 1255833844 | Kidney Care of Kendall Dialysis Center Inc. | Clinic/Center | 13501 S.w. 136th Street, 210, Miami, FL 33186 | 2018-02-28 |
| 1952848798 | Total Renal Care Inc | Clinic/Center | 1800 Sw 8th St, Miami, FL 33135-3418 | 2017-01-31 |
| 1194130252 | Vital Life Dialysis Center, LLC | Clinic/Center | 13501 Sw 136th Street, Suite 210, Miami, FL 33186 | 2014-06-27 |
| 1699102715 | Talimena Dialysis LLC | Clinic/Center | 15600 Nw 15th Ave, Ste D, Miami, FL 33169-5609 | 2013-10-03 |
| 1467762146 | Miami Regional Dialysis Center West LLC | Clinic/Center | 900 Park Centre Blvd, Suite 400-c, Miami, FL 33169-5367 | 2010-10-15 |
| 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.