EMILIO JORGE JUNCOSA (NPI# 1568485969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568485969 |
| Entity Type | Individual |
| Full Name | EMILIO JORGE JUNCOSA |
| Credential | M.D. |
| Practice Address |
12311 Taft St Suite #1 Pembroke Pines FL 33026-4384 |
| Mailing Address |
900 Biscayne Blvd 5006 Miami FL 33132-1561 |
| Practice Telephone | 9544419595 |
| Practice Fax Number | 9544419636 |
| Mailing Telephone | 9544419595 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2011-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME56624 | FL | Other Service Providers |
| Street Address |
12311 TAFT ST SUITE #1 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-4384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861455891 | Clifford Howard Selinger | Dentist | 12311 Taft St, Suite 2, Pembroke Pines, FL 33026-4384 | 2006-04-10 |
| 1306366992 | Yanely Pineiro Puebla Md. Pa. | Internal Medicine | 12311 Taft St, Pembroke Pines, FL 33026-4384 | 2017-06-23 |
| 1487958591 | Yael Gojman-neer | Occupational Therapy Assistant | 12311 Taft St, Pembroke Pines, FL 33026-4384 | 2011-01-04 |
| 1821269846 | Rossana Moura Md Pa | Internal Medicine | 12311 Taft St, Suite 1, Pembroke Pines, FL 33026-4384 | 2008-03-18 |
| 1538275292 | Ahmad Khalil Ahmadi | Dentist | 12311 Taft St, Ste. # 2, Pembroke Pines, FL 33026-4384 | 2006-08-22 |
| 1801829189 | Rossana Moura | Internal Medicine | 12311 Taft St, Suite 1, Pembroke Pines, FL 33026-4384 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699818 | Nicole Wiedeke | Specialist | 9041 Nw 12th Court, Pembroke Pines, FL 33024 | 2016-10-10 |
| 1194100024 | Victor Totfalusi Do P.a | Specialist | 18459 Pines Blvd Ste 213, Pembroke Pines, FL 33029-1400 | 2015-07-21 |
| 1306252200 | Aran Eye Associates Pa | Specialist | 9101 Pembroke Rd, Pembroke Pines, FL 33025-1638 | 2014-07-11 |
| 1699004879 | Results Rehab Pa | Specialist | 974 Sw 159th Ln, Pembroke Pines, FL 33027-5034 | 2009-12-16 |
| 1720215106 | Total Medical LLC. | Specialist | 12177 Pembroke Road, Pembroke Pines, FL 33025 | 2009-06-12 |
| 1215161641 | Donna Michelle White | Specialist | 17828 Nw 16th St, Pembroke Pines, FL 33029-3701 | 2009-05-13 |
| 1003077421 | Farhan Abid | Specialist | 500 N Hiatus Rd Ste 107, Pembroke Pines, FL 33026-5213 | 2008-06-18 |
| 1316156409 | Robert P Picariello | Specialist | 13475 Sw 9th St, Apt A212, Pembroke Pines, FL 33027-1887 | 2007-05-22 |
| 1205043494 | Pediatric Pulmonary and Allergy Assoc. | Specialist | 1 Sw 129th Ave Ste 308, Pembroke Pines, FL 33027-1706 | 2007-05-17 |
| 1457573701 | Amazing Children Rehabilitation Inc. | Specialist | 2060 Nw 190 Ave, Pembroke Pines, FL 33029-3834 | 2007-05-03 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on EMILIO JORGE JUNCOSA.
| 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.