JESSE O BASADRE MD PA


Address: 1699 Sw 27th Ave, Miami, FL 33145
Phone: 3058575025

JESSE O BASADRE MD PA (NPI# 1629268842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629268842
Entity Type Organization
Organization Name JESSE O BASADRE MD PA
Other Organization Name JESSE O BASADRE MD PA
Practice Address 1699 Sw 27th Ave
Miami
FL 33145
Mailing Address 1699 Sw 27th Ave
Miami
FL 33145-2074
Practice Telephone 3058575025
Practice Fax Number 3058575024
Mailing Telephone 3058575025
Mailing Fax Number 3058575024
Enumeration Date 2007-07-25
Last Update Date 2018-09-07
Authorized Official Name MILLIE APONTE (OFFICE MANAGER)
Authorized Official Telephone 3058575025
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0105X Surgery
Specialization: Surgery of the Hand
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NCPDP PROVIDER IDENTIFICATION NUMBER 1014909 01

Other Provider/Organization Names

Other Name Type Code
JESSE O BASADRE MD PA Doing Business As Name - Organization

Office Location

Street Address 1699 SW 27TH AVE
City MIAMI
State FL
Zip Code 33145

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932711298 Silvia Barbara Nunez Behavior Technician 2343 Sw 17th Terrace, Miami, FL 33145 2020-08-18
1669030813 Macrina Morera Martinez Behavior Technician 3191 Sw 14th St Apt 3, Miami, FL 33145 2019-06-03
1275013898 Ana Diez Sampedro Nurse Practitioner 1921 Sw 33rd Ct, Miami, FL 33145 2018-08-14
1811489461 Riviera Tu Comida Favorita Corp. Home Delivered Meals 3138 Coral Way, Miami, FL 33145 2018-05-30
1710475587 Mayte Gentil Gomez Nurse Practitioner 3536 Sw 22 Terrace, Miami, FL 33145 2018-04-27
1073027967 Ismaray Morejon Behavior Technician 1407 Sw 19th St, Miami, FL 33145 2017-11-30
1154833176 Yuniar Porto Jimenez Nurse Practitioner 2021 Sw 23 Terrace, Miami, FL 33145 2017-10-31
1447769013 Nidal Qaad Nurse Practitioner 3500 Coral Way, Apt 1002, Miami, FL 33145 2017-09-26
1821514209 Angelica Maria Gonzalez Behavior Technician 3506 Sw 23rd Ter, Miami, FL 33145 2017-08-17
1639692924 Yaile Espino Fernandez Behavior Technician 3660 Sw 16th Ter Apt #2, Miami, FL 33145 2017-07-19
Find all providers in zip 33145

Taxonomy Information

Taxonomy Code 2086S0105X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgery of the Hand

Taxonomy Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609941244 Jesse Orlando Basadre Surgery 1699 Sw 27 Avenue, Miami, FL 33145 2006-11-21
1003036013 Carlos A Azar Md Pa Surgery 8940 N Kendall Dr, Suite 705 E, Miami, FL 33176-2148 2007-05-01
1881659696 Zubin J. Panthaki Surgery 1611 Nw 12th Ave, Box 016960 M851, Miami, FL 33136-1005 2006-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679006373 Hand Surgery of Central Florida Surgery 1241 S. Ridgewood Ave., Daytona Beach, FL 32114 2017-04-10
1841427861 Jose L Borrero Surgery 630 Jasmine Rd, Altamonte Springs, FL 32701-4807 2009-06-17
1982895223 George Dimitrios Papanicolaou Surgery 3272 W Lake Mary Blvd Ste 1810, Lake Mary, FL 32746-3589 2007-08-01
1073712071 Ehsan Esmaeili Surgery 1905 Clint Moore Rd., Suite 105, Boca Raton, FL 33496 2007-07-11
1770704520 Medlink Management Services Inc Surgery 575 Se 3rd Ave, Lake Butler, FL 32054-2647 2007-05-01
1619196185 Khader Muqtadir Surgery 13905 Bruce B Downs Blvd Ste B, Tampa, FL 33613-3998 2007-04-24
1275606634 William W Adams Surgery 2299 9th Ave North, Suite 2c, Saint Petersburg, FL 33713 2006-11-15
1427089309 Vikram P Mehta Surgery 4106 W. Lake Mary Blvd, Suite 224, Lake Mary, FL 32746 2006-07-06
1043248362 Juan Carlos Castaneda Surgery 667 Beville Rd Ste B, South Daytona, FL 32119-1955 2006-06-28
1215923016 Cecil Constantine Aird Surgery 13905 Bruce B Downs Blvd, Ste. B, Tampa, FL 33613-3905 2005-09-27
Find all providers with the same taxonomy

Competitor

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City MIAMI
Zip Code 33145

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Dataset Information

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.

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