MARIE MANOUCHKA NICOLAS (NPI# 1750718771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750718771 |
| Entity Type | Individual |
| Full Name | MARIE MANOUCHKA NICOLAS |
| Other Name | MARIE MANOUCHKA NICOLAS-VALCIN |
| Credential | ARNP |
| Practice Address |
5385 Ne 2nd Ave Miami FL 33139 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 3057569977 |
| Practice Fax Number | 3057565757 |
| Mailing Telephone | 3057569977 |
| Mailing Fax Number | 3057565757 |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2018-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9169790 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962763946 | Marie B Nicolas | Case Manager/Care Coordinator | 2509 Broadway, Astoria, NY 11106-3413 | 2012-06-06 |
| 1134442072 | Marie E Nicolas | Licensed Practical Nurse | 2920 Cortelyou Rd # A, Brooklyn, NY 11226-6313 | 2010-03-06 |
| Street Address |
5385 NE 2ND AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801884291 | Ernesto Urday-esslinger | Internal Medicine | 5385 Ne 2nd Ave, Miami, FL 33137-2707 | 2005-10-10 |
| 1992214613 | Humana Pharmacy Inc | Pharmacy | 5385 Ne 2nd Ave, Miami, FL 33137-2707 | 2017-09-26 |
| 1083995336 | Medical Plaza Management, Inc. | Pediatrics | 5385 Ne 2nd Ave, Miami, FL 33137-2707 | 2011-08-31 |
| 1871894048 | Cma Meds | Non-Pharmacy Dispensing Site | 5385 Ne 2nd Ave, Miami, FL 33137-2707 | 2010-11-04 |
| 1144402538 | Josenie Desamour | Internal Medicine | 5385 Ne 2nd Ave, Miami, FL 33137-2707 | 2007-11-28 |
| 1205939006 | 54th Street Medical Plaza Inc | Family Medicine | 5385 Ne 2nd Ave, Miami, FL 33137-2707 | 2006-09-07 |
| 1861434508 | Kimberly Beth Lord-strulovic | Pediatrics | 5385 Ne 2nd Ave, Miami, FL 33137-2707 | 2006-06-10 |
| 1871581249 | Raquel M Gonzalez | Pediatrics | 5385 Ne 2nd Ave, Miami, FL 33137-2707 | 2005-10-11 |
| 1568450955 | Lyndia Ordillas-jorge | Internal Medicine | 5385 Ne 2nd Ave, Miami, FL 33137-2707 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973061 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 709 Alton Road Suite 430, Miami Beach, FL 33139 | 2019-10-14 |
| 1811548308 | Yoel O Guerra | Behavior Technician | 800 West Ave Apt 942, Miami Beach, FL 33139 | 2019-09-25 |
| 1285153239 | Stella Kocovic Villacorta | Internal Medicine | 709 Alton Road, Suite 440, Miami Beach, FL 33139 | 2017-09-11 |
| 1922524164 | Noel De Leon | Pharmacist | 730 15 Street Apt 1-d, Miami Beach, FL 33139 | 2017-08-18 |
| 1861916868 | Susana Cruz | Behavior Technician | 710 Washinghton Ave Apt# 223, Miami Beach, FL 33139 | 2017-08-01 |
| 1730627530 | Viviana Yerex | Behavior Technician | 800 West Ave. Apt. 602, Miami Beach, FL 33139 | 2017-02-01 |
| 1841662921 | Miami Beach Holistic Addiction Treatment Center | Substance Abuse Rehabilitation Facility | 309 23rd Street Ste 200-c, Miami Beach, FL 33139 | 2015-10-28 |
| 1609245778 | Borinquen Health Care Center Inc | Clinic/Center | 1050 4th Street, South Pointe Elementary, Miami Beach, FL 33139 | 2015-09-18 |
| 1558730622 | Borinquen Health Care Center Inc | Clinic/Center | 1420 Washington Avenue, Fienberg Fisher K-8, Miami Beach, FL 33139 | 2015-09-18 |
| 1407238603 | Wayne Holman | General Practice | 500 South Pointe Drive Suite 220, C/o Ridgeback Capital Management, Miami Beach, FL 33139 | 2015-06-24 |
| Find all providers in zip 33139 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1912508193 | Tania Maria Franco | Nurse Practitioner | 848 Ne 81st St, Miami, FL 33138-4630 | 2020-11-04 |
| 1578164794 | Kathryn Elizabeth Watson | Nurse Practitioner | 8000 Sw 96th St, Miami, FL 33156-7422 | 2020-11-04 |
| 1316548811 | Fernando Andres Aguilera | Nurse Practitioner | 3100 Sw 62nd Ave # 124, Miami, FL 33155-3009 | 2020-11-03 |
| 1396346995 | Lauren Vine Redondo | Nurse Practitioner | 7648 Sw 105th Pl, Miami, FL 33173-2931 | 2020-11-02 |
| 1104426766 | Yosen Rodriguez Jimenez | Nurse Practitioner | 2380 Sw 131st Ct, Miami, FL 33175-1157 | 2020-10-31 |
| 1871193755 | Yolanda Justal | Nurse Practitioner | 325 Nw 108th Ter, Miami, FL 33168-3230 | 2020-10-29 |
| 1467051003 | Raiseline De La Caridad Casanova Mederos | Nurse Practitioner | 120 Nw 49th St, Miami, FL 33127-2109 | 2020-10-24 |
| 1518566132 | Mileydis Curbelo | Nurse Practitioner | 15285 Sw 88th Ter, Miami, FL 33196-1462 | 2020-10-23 |
| 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.