JACKSON MEMORIAL HOSPITAL (NPI# 1922196062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922196062 |
| Entity Type | Organization |
| Organization Name | JACKSON MEMORIAL HOSPITAL |
| Practice Address |
3311 Sw 17th St Miami FL 33145-1821 |
| Practice Telephone | 3044487294 |
| Mailing Telephone | 3044487294 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GILBERTO AGUSTINE SOTO (STAFF CRNA) |
| Authorized Official Telephone | 3059960025 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
2738382 | FL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306158266 | Jackson Memorial Hospital | Special Hospital | 13128 Sw 45th Dr, Miramar, FL 33027-3160 | 2010-07-08 |
| 1477871069 | Jackson Memorial Hospital | General Acute Care Hospital | 4304 E Whitewater Ave, Weston, FL 33332-2409 | 2010-05-07 |
| 1992034466 | Jackson Memorial Hospital | General Acute Care Hospital | 2101 Brickell Ave, 712, Miami, FL 33129-2128 | 2009-12-13 |
| 1225275639 | Jackson Memorial Hospital | General Acute Care Hospital | 169 E Flagler St Fl 11, Miami, FL 33131-1210 | 2009-01-08 |
| 1861603706 | Jackson Memorial Hospital | Clinic/Center | 1600 Nw 12th Ave., Suite C-150, Miami, FL 33136 | 2007-05-24 |
| 1891879623 | Jackson Memorial Hospital | General Acute Care Hospital | 435 Ne 121st St, Apt 207, North Miami, FL 33161-5480 | 2006-10-25 |
| 1477568178 | Jackson Memorial Hospital | Clinic/Center | 13850 Nw 41st St, Doral, FL 33178-3004 | 2006-07-30 |
| 1366973745 | Jackson Memorial Hospital | Skilled Nursing Facility | 1611 Nw 12th Ave, East Tower, Miami, FL 33136-1005 | 2017-03-27 |
| 1497033500 | Jackson Memorial Hospital | Chronic Disease Hospital | 1450 Nw 10th Ave, Suite 2054a, Miami, FL 33136-1011 | 2011-07-25 |
| 1528386463 | Jackson Memorial Hospital | Medicare Defined Swing Bed Unit | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2010-05-16 |
| Street Address |
3311 SW 17TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33145-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711298 | Silvia Barbara Nunez | Behavior Technician | 2343 Sw 17th Terrace, Miami, FL 33145 | 2020-08-18 |
| 1669030813 | Macrina Morera Martinez | Behavior Technician | 3191 Sw 14th St Apt 3, Miami, FL 33145 | 2019-06-03 |
| 1275013898 | Ana Diez Sampedro | Nurse Practitioner | 1921 Sw 33rd Ct, Miami, FL 33145 | 2018-08-14 |
| 1811489461 | Riviera Tu Comida Favorita Corp. | Home Delivered Meals | 3138 Coral Way, Miami, FL 33145 | 2018-05-30 |
| 1710475587 | Mayte Gentil Gomez | Nurse Practitioner | 3536 Sw 22 Terrace, Miami, FL 33145 | 2018-04-27 |
| 1073027967 | Ismaray Morejon | Behavior Technician | 1407 Sw 19th St, Miami, FL 33145 | 2017-11-30 |
| 1154833176 | Yuniar Porto Jimenez | Nurse Practitioner | 2021 Sw 23 Terrace, Miami, FL 33145 | 2017-10-31 |
| 1447769013 | Nidal Qaad | Nurse Practitioner | 3500 Coral Way, Apt 1002, Miami, FL 33145 | 2017-09-26 |
| 1821514209 | Angelica Maria Gonzalez | Behavior Technician | 3506 Sw 23rd Ter, Miami, FL 33145 | 2017-08-17 |
| 1639692924 | Yaile Espino Fernandez | Behavior Technician | 3660 Sw 16th Ter Apt #2, Miami, FL 33145 | 2017-07-19 |
| Find all providers in zip 33145 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194953828 | Mount Sinai Medical Center | General Acute Care Hospital | 14700 Ne 9th Ave, Miami, FL 33161-2316 | 2009-07-01 |
| 1477618387 | Department of Va, Miami Va Health Care | General Acute Care Hospital | 12530 Ne 1st, Miami, FL 33161 | 2006-12-22 |
| 1750714507 | Miami Children's Hospital | General Acute Care Hospital | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2013-08-15 |
| 1205092186 | Jackson Memorial Hospital | General Acute Care Hospital | 1611 Nw 12th Ave, Acc East Room 102, Miami, FL 33136-1005 | 2008-07-31 |
| 1376681239 | Jackson Health System | General Acute Care Hospital | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2007-02-02 |
| 1588737191 | Jackson Memorial Hospital | General Acute Care Hospital | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2006-11-15 |
| 1124197314 | Jmh | General Acute Care Hospital | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2006-11-06 |
| 1396837134 | Jmh | General Acute Care Hospital | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2006-09-29 |
| 1174637441 | Jeffrey T Kilayko Pa | General Acute Care Hospital | 1700 Sw 150th Rd, Miami, FL 33185-5771 | 2006-08-17 |
| 1154378206 | University of Miami Miller School of Medicine | General Acute Care Hospital | 1801 Nw 9th Ave, 5th Floor, Miami, FL 33136-1101 | 2006-05-27 |
| 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.