MIGUEL A DE LA RUA (NPI# 1437700093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437700093 |
| Entity Type | Individual |
| Full Name | MIGUEL A DE LA RUA |
| Credential | GERONTOLOGY APRN |
| Practice Address |
750 S Federal Hwy Hollywood FL 33020-5424 |
| Practice Telephone | 3055340075 |
| Mailing Telephone | 9545079099 |
| Mailing Fax Number | 8447426552 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2020-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN11004260 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN9483054 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AANPCB CERTIFICATION NUMBER FLORIDA BOARD OF NURSING | AG09190084 | 01 |
| FL | MEDICARE | L0456 | 01 |
| Street Address |
750 S FEDERAL HWY |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285031096 | International Patient Care, Inc | Clinic/Center | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2014-11-21 |
| 1821400730 | Yunior Y Silva Barrero | Social Worker | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2014-05-27 |
| 1831450220 | Action Physical Therapy, LLC. | Physical Therapist | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2012-06-02 |
| 1770894453 | Hollywood Medical Clinic LLC | Clinic/Center | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2010-06-28 |
| 1376862987 | Linda Jean | Family Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2010-05-21 |
| 1063694446 | Clinique Medmanagement Group, LLC | Family Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2007-11-28 |
| 1871616862 | Hossein Farsad | Preventive Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2007-04-06 |
| 1215021944 | Leonel Martin Calderon | Family Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2006-10-03 |
| 1013015213 | Linda C Barreras | Nurse Practitioner | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2006-09-20 |
| 1134106487 | Sandro Bacchelli | Family Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871549188 | Hector P Cintron | Nurse Practitioner | 3440 Hollywood Blvd, Suite 460, Hollywood, FL 33021-6927 | 2006-05-26 |
| 1275176224 | Leslie Almora | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2019-10-22 |
| 1235626516 | Bekheit Care LLC | Nurse Practitioner | 1035 S Federal Hwy, Hollywood, FL 33020 | 2018-04-22 |
| 1235507765 | Raafat Bekheit | Nurse Practitioner | 1035 S Federal Hwy, Hollywood, FL 33020-6025 | 2015-09-15 |
| 1811930894 | Susan Marilyn Frye | Nurse Practitioner | 3440 Hollywood Blvd, Suite 460, Hollywood, FL 33021-6927 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
| 1093315285 | Linh My Duong | Nurse Practitioner | 6184 49th Ave N, Kenneth City, FL 33709-3306 | 2020-10-28 |
| 1992304042 | Dawn Marie Decker-bowe | Nurse Practitioner | 7735 Hampton Hills Loop, New Port Richey, FL 34654-6206 | 2020-10-20 |
| 1770181182 | Lisa Maria Mercado | Nurse Practitioner | 8115 97th Ct, Vero Beach, FL 32967-2810 | 2020-10-16 |
| 1609474329 | Elisa Swieboda | Nurse Practitioner | 100 W Myrtle St, Howey In The Hills, FL 34737-4316 | 2020-10-14 |
| 1275130551 | Edgar Rafael Valdez Quinonez | Nurse Practitioner | 1212 Verdant Glade Pl, Winter Park, FL 32792-3029 | 2020-10-08 |
| 1306453683 | Madelyn Delgado Borges | Nurse Practitioner | 901 Tivoli Ter Apt 203, Deerfield Beach, FL 33441-7893 | 2020-09-30 |
| 1497362024 | Kyliene Reyes | Nurse Practitioner | 4771 Sw 138th Loop, Ocala, FL 34473-2000 | 2020-09-28 |
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1093321754 | Sangita Nair | Nurse Practitioner | 16302 Sw 23rd St, Miramar, FL 33027-4404 | 2020-09-18 |
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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.