SUPREME MEDICAL CENTER (NPI# 1861733115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861733115 |
Entity Type | Organization |
Organization Name | SUPREME MEDICAL CENTER |
Practice Address |
9370 Sw 72nd St Ste A103 Miami FL 33173-5470 |
Practice Telephone | 3059794969 |
Enumeration Date | 2013-03-12 |
Last Update Date | 2013-03-12 |
Authorized Official Name | YOALKIS MARTINEZ (PRESIDENT) |
Authorized Official Telephone | 3059794969 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers |
Street Address |
9370 SW 72ND ST STE A103 |
City | MIAMI |
State | FL |
Zip Code | 33173-5470 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598374613 | Derrick George Dyer | Behavioral Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
1447760749 | Irfan Saeed | Nurse Practitioner | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
1619491339 | Malciel Bonilla | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
1144744467 | Yoislan Daniel Daniel | Behavioral Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
1215478276 | Leonel Diaz Rapado | Behavior Technician | 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 | 2017-03-10 |
Find all providers in zip 33173 |
Taxonomy Code | 170100000X |
Grouping | Other Service Providers |
Classification | Medical Genetics, Ph.D. Medical Genetics |
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790108678 | Doctor Ralph Miniet Practice | Medical Genetics, Ph.D. Medical Genetics | 275 Fontainebleau Blvd Suite 210, Miami, FL 33172 | 2014-01-28 |
1376821678 | Tracy M Baker | Medical Genetics, Ph.D. Medical Genetics | 9155 S Dadeland Blvd Ste 1708, Miami, FL 33156-2742 | 2011-08-03 |
1780704072 | Feel Better Medical Center Inc | Medical Genetics, Ph.D. Medical Genetics | 2141 S.w 1 St, Suite 211, Miami, FL 33135 | 2007-03-30 |
1568599041 | Flagler Clinic Center Corp | Medical Genetics, Ph.D. Medical Genetics | 6765 W Flagler St, Miami, FL 33144-2923 | 2007-02-28 |
1841332228 | Oaj Professional Center Inc | Medical Genetics, Ph.D. Medical Genetics | 8556 Sw 8th St, Miami, FL 33144-4053 | 2007-02-13 |
1487709663 | South Florida Medical & Rehab Center Inc | Medical Genetics, Ph.D. Medical Genetics | 297 Sw 27th Ave, Miami, FL 33135-1401 | 2007-01-25 |
1902960685 | Gonzalez Group Association Inc | Medical Genetics, Ph.D. Medical Genetics | 9716 Sw 24th St, Miami, FL 33165-7513 | 2006-12-20 |
1306925169 | Triangle Medical Center Inc | Medical Genetics, Ph.D. Medical Genetics | 1726 Nw 36th St Ste 19-20, Miami, FL 33142-5433 | 2006-11-03 |
1427142967 | R G A General Services Inc | Medical Genetics, Ph.D. Medical Genetics | 8180 Nw 36 St, Suite 217, Miami, FL 33166 | 2006-10-02 |
1639191869 | Roberto Rodriguez | Medical Genetics, Ph.D. Medical Genetics | 8660 W Flagler St Ste 111, Miami, FL 33144-2035 | 2006-07-24 |
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.