SOUTHEAST PHYSICIAN ASSOCIATES 1, LLC. (NPI# 1912435264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912435264 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST PHYSICIAN ASSOCIATES 1, LLC. |
| Practice Address |
10621 N Kendall Dr Ste 211 Miami FL 33176-1530 |
| Practice Telephone | (305) 596-4288 |
| Practice Fax Number | 3055966378 |
| Mailing Telephone | 3055964288 |
| Mailing Fax Number | 3055966378 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |
| Authorized Official Name | MR. RENE F GOMEZ (CEO) |
| Authorized Official Telephone | 3055964288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Street Address |
10621 N KENDALL DR STE 211 |
| City | MIAMI |
| State | FL |
| Zip Code | 33176-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710486501 | Sepa 2, LLC | Exclusive Provider Organization | 10621 N Kendall Dr Ste 211, Miami, FL 33176-1530 | 2018-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064162 | Majela Muse | Nurse Practitioner | 9550 Sw 92th St, Miami, FL 33176 | 2020-08-24 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710515721 | Diana Almeida Araujo | Counselor | 11050 North Kendall Drive, Suite 102, Miami, FL 33176 | 2020-03-27 |
| 1255826285 | Rebecca Arteaga | Behavioral Analyst | 10150 Sw 88th St Apt 104, Miami, FL 33176 | 2018-06-22 |
| 1356834337 | Ag Special Therapy Services Corp | Physical Therapist | 12670 Sw 93 Place, Miami, FL 33176 | 2018-06-13 |
| 1063928562 | Dade Behavioral Services Inc | Behavioral Analyst | 10689 N Kendall Dr Ste 309, Miami, FL 33176 | 2017-12-19 |
| 1619409596 | Antonio Medina Rodriguez | Behavior Technician | 9530 Sw 93 Ct, Miami, FL 33176 | 2017-03-30 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 1205386794 | Orlando Sanchez | Behavior Technician | 10421 Sw 141 St Drive, Miami, FL 33176 | 2016-10-07 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| Find all providers in zip 33176 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780362 | South Florida Physician Network, LLC | Exclusive Provider Organization | 5000 Sw 75th Ave Ste 202, Miami, FL 33155-4468 | 2020-11-02 |
| 1164040598 | Ito Medical, LLC | Exclusive Provider Organization | 79 Sw 12th St Apt 1511, Miami, FL 33130-5203 | 2020-07-13 |
| 1356825574 | Doctors Choice Managment Service Inc. | Exclusive Provider Organization | 12750 Sw 189th St, Miami, FL 33177-3724 | 2018-09-24 |
| 1679082309 | Quality Care Partners LLC | Exclusive Provider Organization | 13818 Sw 152nd St # 387, Miami, FL 33177-1164 | 2017-09-26 |
| 1588188445 | Partners In Health Care Management LLC | Exclusive Provider Organization | 13818 Sw 152 Street, 387, Miami, FL 33186 | 2017-08-01 |
| 1750833919 | Icare Health Solutions | Exclusive Provider Organization | 7352 Nw 34 St, Miami, FL 33122-1266 | 2016-11-03 |
| 1508242876 | Dade County Dental Research Center | Exclusive Provider Organization | 750 Nw 20th St # G-110, Miami, FL 33127-4618 | 2015-08-10 |
| 1225413115 | Professional Healhcare Management Group, LLC | Exclusive Provider Organization | 6341 Sw 16th Ter, Miami, FL 33155-1905 | 2015-07-21 |
| 1306243381 | Gentle Care Medical Center | Exclusive Provider Organization | 8000 West Flagler St, Suite 206, Miami, FL 33144 | 2014-11-19 |
| 1902214091 | Florida Diagnostics Services Inc | Exclusive Provider Organization | 10621 N Kendall Dr Ste 101a, Miami, FL 33176-1549 | 2014-08-01 |
| 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.