SWEETWATER MEDICAL & SPA SERVICES (NPI# 1558750315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558750315 |
| Entity Type | Organization |
| Organization Name | SWEETWATER MEDICAL & SPA SERVICES |
| Practice Address |
35 Sw 114th Ave Apt 105 Miami FL 33174-1005 |
| Practice Telephone | 3054802045 |
| Mailing Telephone | 3054802045 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |
| Authorized Official Name | MERCY PEREZ (PRESIDENT) |
| Authorized Official Telephone | 3054802045 |
| Is Organization Subpart | Y |
| Parent Organization Name | GISMER MEDICAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Street Address |
35 SW 114TH AVE APT 105 |
| City | MIAMI |
| State | FL |
| Zip Code | 33174-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790322931 | Gonzalez Medical & Rehabilitation Center LLC. | Clinic/Center | Gonzalez Medical & Rehabilitation Center LLC., 9600 Sw 8th Street Suite 26, Miami, FL 33174 | 2019-12-06 |
| 1942841655 | Eida J Alvarez | Pharmacist | 10332 W. Flager St., Miami, FL 33174 | 2019-10-03 |
| 1477021384 | Greyte Leyva Souto | Nurse Practitioner | 9856 Sw 8th St Apt 211, Miami, FL 33174 | 2018-11-08 |
| 1205322856 | Salome Fraga | Dentist | 9971 W Flagler Street, Suite 220, Miami, FL 33174 | 2018-07-06 |
| 1013425610 | Estuardo Del Peso | Nurse Practitioner | 345 Sw 97th Ct, Miami, FL 33174 | 2018-01-17 |
| 1477079911 | Jocelyn Hernandez | Behavior Technician | 10942 Sw 4st Apt 1, Miami, FL 33174 | 2017-08-16 |
| 1558885608 | Mariela Hernandez | Behavior Technician | 8770 Sw 12 Th St Apt 202, Miami, FL 33174 | 2017-07-31 |
| 1164943130 | Jesus Portal | Behavior Technician | 11262 Sw 7th St, Miami, FL 33174 | 2017-06-29 |
| 1033644877 | Enrique Barreiro | Assistant Behavior Analyst | 10801 Sw 7 St, Apt 2, Miami, FL 33174 | 2017-05-01 |
| 1528503893 | Damaris Quinones | Behavior Technician | 8900 West Flagler, Miami, FL 33174 | 2016-12-22 |
| Find all providers in zip 33174 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1063866242 | Brian Asencio | Podiatrist | 9035 Sw 72nd St Ste 104, Miami, FL 33173 | 2016-04-14 |
| 1659738227 | Ralph Ramos | Podiatrist | 1330 Coral Way Ste 408, Miami, FL 33145-2945 | 2016-01-27 |
| 1154787364 | Sunshine Podiatry Center,llc | Podiatrist | 13412 Sw 6th St, Miami, FL 33184-1142 | 2016-01-05 |
| 1619373818 | Zahra Karbasian | Podiatrist | 13500 Sw 88 St, Ste185, Miami, FL 33186-1528 | 2014-11-15 |
| 1073928974 | Hugo Alejandro Fernandez | Podiatrist | 2150 Sw 16th Ave Apt 408, Miami, FL 33145-2866 | 2014-06-30 |
| 1689088189 | Luis A Rodriguez Anaya | Podiatrist | 3659 S Miami Ave Ste 3008, Miami, FL 33133-4225 | 2014-06-12 |
| 1275950511 | Katherine Machado | Podiatrist | 8785 Sw 165th Ave Ste 110, Miami, FL 33193 | 2014-03-25 |
| 1144654625 | Stem Cell Miami | Podiatrist | 6401 Galloway Rd, Suite 109, Miami, FL 33173-2500 | 2013-09-03 |
| 1952644957 | Yana Azbukina Roddenberry | Podiatrist | 9570 Sw 107th Ave Ste 103, Miami, FL 33176-2791 | 2013-03-28 |
| 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.