SUPREME MEDICAL CENTER


Address: 9370 Sw 72nd St Ste A103, Miami, FL 33173-5470
Phone: 3059794969

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170100000X Medical Genetics, Ph.D. Medical Genetics Other Service Providers

Office Location

Street Address 9370 SW 72ND ST STE A103
City MIAMI
State FL
Zip Code 33173-5470

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1851806632 Juliana Orozco Acupuncturist 9240 Sunset Dr Ste 229, Miami, FL 33173 2017-12-03
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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
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Taxonomy Information

Taxonomy Code 170100000X
Grouping Other Service Providers
Classification Medical Genetics, Ph.D. Medical Genetics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City MIAMI
Zip Code 33173

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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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