INTEGRA DIALYSIS CENTER LLC (NPI# 1801438130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801438130 |
Entity Type | Organization |
Organization Name | INTEGRA DIALYSIS CENTER LLC |
Practice Address |
1490 W 49th Pl Hialeah FL 33012-3148 |
Mailing Address |
6100 Sw 183rd Way Southwest Ranches FL 33331-1640 |
Practice Telephone | 9542746045 |
Mailing Telephone | 9542746045 |
Enumeration Date | 2019-10-08 |
Last Update Date | 2019-10-08 |
Authorized Official Name | SOCORRO MIRYAM MATHEWS (ADMINISTRATOR) |
Authorized Official Telephone | 9542746045 |
Authorized Official Credential | APRN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
Street Address |
1490 W 49TH PL |
City | HIALEAH |
State | FL |
Zip Code | 33012-3148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023019692 | Cruz Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1490 W 49th Pl, Suite 580, Hialeah, FL 33012-3148 | 2005-08-09 |
1073055729 | Bio Vita Medical Center LLC. | Specialist | 1490 W 49th Pl, 401, Hialeah, FL 33012-3148 | 2016-11-11 |
1558812560 | Palm Springs Medical Group LLC | General Practice | 1490 W 49th Pl, Suite 506, Hialeah, FL 33012-3148 | 2016-10-14 |
1902249873 | Savin Medical Group | Clinic/Center | 1490 W 49th Pl, 340, Hialeah, FL 33012-3148 | 2013-04-10 |
1649557075 | Yusimi Granda | Reflexologist | 1490 W 49th Pl, Suite 210, Hialeah, FL 33012-3148 | 2011-11-14 |
1295012649 | Roberto Omaix Caballero | Reflexologist | 1490 W 49th Pl, Suite 210, Hialeah, FL 33012-3148 | 2011-11-14 |
1962709949 | Community Healthcare Administrators | General Practice | 1490 W 49th Pl, Suite 398, Hialeah, FL 33012-3148 | 2011-02-28 |
1770888257 | Yadyra Gil | Massage Therapist | 1490 W 49th Pl, Suite 490, Hialeah, FL 33012-3148 | 2011-01-14 |
1811292303 | Advance Therapy Group Inc | Clinic/Center | 1490 W 49th Pl, Suite 490, Hialeah, FL 33012-3148 | 2011-01-14 |
1558677633 | Usa Florida Medical Center | Family Medicine | 1490 W 49th Pl, Ste 370, Hialeah, FL 33012-3148 | 2010-08-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699324160 | Maria Antonia Espinosa | Behavior Technician | 520 W 38th Pl, Hialeah, FL 33012 | 2019-09-08 |
1972157428 | Fernandez Orthofeet Corp | Prosthetic/Orthotic Supplier | 3750 W 16th Ave Suite 102, Hialeah, FL 33012 | 2019-08-01 |
1790267045 | Teresita De Jesus Santander | Nurse Practitioner | 1414 West 43dr Pl, Hialeah, FL 33012 | 2018-09-04 |
1245721760 | Physical Therapy Now of South Florida LLC | Clinic/Center | 3595 West 20 Ave Ste B, Hialeah, FL 33012 | 2018-05-21 |
1346741618 | Yamirka Sanchez Perez | General Practice | 1840 W 49th St Ste 105, Hialeah, FL 33012 | 2018-02-22 |
1356840334 | Janet Rodriguez | Behavior Technician | 5430 W 10th Ct, Hialeah, FL 33012 | 2018-02-06 |
1235644642 | Gustavo Brache | Massage Therapist | 3905 West 20 Avenue, Suite 125, Hialeah, FL 33012 | 2017-12-07 |
1962911487 | Yenisey Garabito | Behavior Technician | 1805west 56st Apt 109, Hialeah, FL 33012 | 2017-09-27 |
1023536026 | Florida Dental Alliance | Dentist | 4355 W 16 Ave Suite, #205a, Hialeah, FL 33012 | 2017-08-30 |
1861919508 | Masury Montes De Oca | Behavior Technician | 261 W 35 Street, Hialeah, FL 33012 | 2017-08-24 |
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Taxonomy Code | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023573490 | Arc Dialysis Hialeah LLC | Clinic/Center | 3704 W 12th Ave, Hialeah, FL 33012-4126 | 2019-02-09 |
1942312780 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 7170 W 20th Ave, Hialeah, FL 33016-1849 | 2006-08-31 |
1669583084 | Total Renal Care Inc | Clinic/Center | 8524 Nw 103rd St, Hialeah, FL 33016-4870 | 2006-08-31 |
1215904776 | Flamingo Park Kidney Center Inc | Clinic/Center | 901 E 10th Ave Bay 17, Hialeah, FL 33010 | 2006-03-03 |
1588640130 | Renal Carepartners of Hialeah, LLC | Clinic/Center | 1401 E 4th Ave, Hialeah, FL 33010-3504 | 2005-12-15 |
1801149950 | Kavett Dialysis LLC | Clinic/Center | 7150 W 20th Ave, Ste 109, Hialeah, FL 33016-5509 | 2012-10-25 |
1457544553 | Hialeah Kidney Dialysis LLC | Clinic/Center | 1401 E 4th Ave, Ste 105, Hialeah, FL 33010-3504 | 2007-08-22 |
1366513954 | Fresenius Medical Care | Clinic/Center | 7170 W 20th Ave, Hialeah, FL 33016-1849 | 2006-11-13 |
1114953882 | Advanced Dialysis Institute, Inc | Clinic/Center | 7150 W 20th Ave, Suite 109, Hialeah, FL 33016-5529 | 2006-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496104 | Kidney Care Center of Winter Haven LLC | Clinic/Center | 1107 3rd St Sw Ste 9, Winter Haven, FL 33880-3912 | 2020-10-27 |
1538773411 | 5072020, LLC | Clinic/Center | 2675 Winkler Ave Ste 130, Fort Myers, FL 33901-9362 | 2020-09-08 |
1750992814 | Swain Dialysis Renal Center | Clinic/Center | 1923 Nw 43rd St, Miami, FL 33142-4777 | 2020-08-12 |
1396355525 | Kidney Partners Coral Gables LLC | Clinic/Center | 835 Sw 37th Ave, Miami, FL 33135-4289 | 2020-08-03 |
1427668870 | Dialysis Spa, LLC | Clinic/Center | 2040 Ne 163rd St Ste 206, North Miami Beach, FL 33162-4953 | 2020-07-31 |
1285250522 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 775 Gateway Dr Ste 1010, Altamonte Springs, FL 32714-1524 | 2020-06-23 |
1992321244 | Fresenius Medical Care Casselberry, LLC | Clinic/Center | 750 Northlake Blvd Ste 1024, Altamonte Springs, FL 32701-6745 | 2020-06-23 |
1023630886 | Fresenius Medical Care Apollo Beach, LLC | Clinic/Center | 3002 E College Ave, Ruskin, FL 33570-5220 | 2020-05-14 |
1124640263 | Arc Dialysis Westchester LLC | Clinic/Center | 11501 Sw 40th St Ste 100, Miami, FL 33165-3313 | 2020-05-12 |
1487274734 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 2777 University Blvd W Ste 39, Jacksonville, FL 32217-2143 | 2020-04-16 |
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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.