PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA (NPI# 1457421224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457421224 |
| Entity Type | Organization |
| Organization Name | PUBLIC HEALTH TRUST OF DADE COUNTY FLORIDA |
| Other Organization Name | JEFFERSON REAVES SR HEALTH CENTER DENTAL |
| Practice Address |
1009 Nw 5th Ave Miami FL 33136-3212 |
| Mailing Address |
1611 Nw 12th Ave Miami FL 33136-1005 |
| Practice Telephone | 7864664000 |
| Practice Fax Number | 3055771085 |
| Mailing Telephone | 3055858957 |
| Mailing Fax Number | 3055855259 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-06-19 |
| 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 FLORIDA |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010042130 | 05 |
| Other Name | Type Code |
|---|---|
| Jefferson Reaves Sr Health Center Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871705558 | Public Health Trust of Dade County Florida | Clinic/Center | 14701 Nw 27th Ave, Opa Locka, FL 33054-3350 | 2007-05-04 |
| 1427120856 | Public Health Trust of Dade County Florida | Clinic/Center | 1660 Nw 7th Ct, Highland Pavillion, Miami, FL 33136-1420 | 2006-11-14 |
| 1194897421 | Public Health Trust of Dade County Florida | Legal Medicine | 1851 Nw 10th Ave, Miami, FL 33136-1054 | 2006-11-14 |
| 1295806727 | Public Health Trust of Dade County Florida | Pharmacy | 9333 Sw 152 Street, Miami, FL 33157 | 2006-11-13 |
| 1790856458 | Public Health Trust of Dade County Florida | Pharmacy | 901 Nw 17th St Ste D, Miami, FL 33136-1135 | 2006-11-13 |
| 1124062542 | Public Health Trust of Dade County Florida | Anesthesiology | 1611 Nw 12th Avenue, Miami, FL 33136 | 2006-06-15 |
| 1134116320 | Public Health Trust of Dade County Florida | Skilled Nursing Facility | 2500 Nw 22nd Ave, Miami, FL 33142-8429 | 2005-10-03 |
| 1710358163 | Public Health Trust of Dade County Florida | Clinic/Center | 615 5th St, Miami Beach, FL 33139-6515 | 2015-10-12 |
| 1053789313 | Public Health Trust of Dade County Florida | Pharmacy | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2015-09-03 |
| 1831340900 | Public Health Trust of Dade County Florida | Clinic/Center | 20201 Nw 37th Ave, Miami Gardens, FL 33056-1755 | 2008-10-07 |
| Street Address |
1009 NW 5TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023034493 | Rocio Quintero | Family Medicine | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2006-07-15 |
| 1891061974 | Rachel Louvonia Freeman | Dietitian, Registered | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2012-03-22 |
| 1932403367 | Heidi Halliday Allespach | Psychologist | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2010-12-28 |
| 1497078828 | William F Arce Montoya | Family Medicine | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2010-03-12 |
| 1124351473 | Mary Beatrice Reyes | Counselor | 1009 Nw 5th Ave, Jefferson Reaves Health Center, Miami, FL 33136-3212 | 2009-09-17 |
| 1972649218 | Rosa M Bueno | Dentist | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2007-01-30 |
| 1851467666 | Public Health Trust of Miami Dade County Florida | Clinic/Center | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2006-11-27 |
| 1861590622 | Karen Priscilla Frazier | Nurse Practitioner | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2006-09-20 |
| 1982619722 | Public Health Trust of Dade County Florida | Clinic/Center | 1009 Nw 5th Ave, Miami, FL 33136-3212 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| 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.