JULIO C POVEDA (NPI# 1609161892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609161892 |
| Entity Type | Individual |
| Full Name | JULIO C POVEDA |
| Credential | M.D. |
| Practice Address |
12485 Sw 137th Ave Ste 103 Miami FL 33186 |
| Mailing Address |
9500 S Dadeland Blvd Ste 200 Miami FL 33156-2866 |
| Practice Telephone | 3054684194 |
| Mailing Telephone | 3054684185 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2018-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME132803 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021418900 | 05 | |
| FL | MEDICARE | JB982Z | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1611 Nw 12th Ave, Miami, FL 331361005 | 3055858281 | |
| 1620 Medical Ln, Fort Myers, FL 339071143 | 2392751164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649401720 | Julio C Poveda | General Practice | 19200 Sw 377 St, Florida City, FL 33034 | 2009-08-06 |
| Street Address |
12485 SW 137TH AVE STE 103 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871021949 | Taylor De Tuya | Behavioral Analyst | 12485 Sw 137th Ave Ste 103, Miami, FL 33186-4215 | 2017-06-01 |
| 1811435720 | Jorge Plasencia | Behavioral Analyst | 12485 Sw 137th Ave Ste 103, Miami, FL 33186-4215 | 2017-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265839377 | Hugo Keiji Kaneku Nagahama | Pathology | 1600 Nw 10th Ave Rm 8149, Miami, FL 33136-1015 | 2014-12-04 |
| 1558629519 | August W. Moritz | Pathology | 1611 Nw 12th Ave Fl 2, Miami, FL 33136-1005 | 2012-04-27 |
| 1376834796 | Maryam Sharifian | Pathology | Vitro Molecular Laboratories, 8700 W Flagler Street, Suite 100, Miami, FL 33174 | 2011-04-20 |
| 1629386412 | Alina M. Budejen | Pathology | 6236 Sw 10 Terrace, Miami, FL 33144 | 2010-09-15 |
| 1467764449 | Christopher G Economides | Pathology | 2311 Tigertail Ct, Miami, FL 33133-4723 | 2010-07-07 |
| 1326270125 | Ramiro Perez | Pathology | 11801 Sw 31st Ter, Miami, Miami, FL 33175-2333 | 2009-08-13 |
| 1144456591 | Miguel M Gonzalez Md LLC | Pathology | 2662 Sw 110th Ct, Miami, FL 33165-2383 | 2009-05-29 |
| 1487895504 | Maria J Bertoli Avella | Pathology | 3610 Sw 106 Ave, Miami, FL 33165 | 2009-03-19 |
| 1790951127 | Deepan Mathur | Pathology | 936 Sw 1st St., Suite 428, Miami, FL 33130 | 2008-05-06 |
| 1659415016 | Carlos Eduardo Ramos | Pathology | 11011 Sw 117th Ave, Miami, FL 33186-3913 | 2007-02-19 |
| 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.