BODY-MIND MEDICAL CARE (NPI# 1922554823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922554823 |
| Entity Type | Organization |
| Organization Name | BODY-MIND MEDICAL CARE |
| Practice Address |
3902 Sw 144th Ave Miami FL 33175-7813 |
| Practice Telephone | 7863202295 |
| Mailing Telephone | 7863202295 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |
| Authorized Official Name | DR. ILEANA MARGARITA RODICIO (OWNER) |
| Authorized Official Telephone | 7863202295 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
ME88103 | FL | Ambulatory Health Care Facilities |
| Street Address |
3902 SW 144TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-7813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407464845 | Dynamic Medical Research, LLC. | Clinic/Center | 5872 W Flagler St, Miami, FL 33144-3363 | 2020-07-22 |
| 1588287866 | Accountable Healthcare Partners, LLC. | Clinic/Center | 7480 Sw 40th St Ste 810, Miami, FL 33155-6660 | 2020-05-21 |
| 1801422159 | Modern Med Centers LLC | Clinic/Center | 8950 Sw 74th Ct Ste 101, Miami, FL 33156-3172 | 2020-03-18 |
| 1568029197 | Healthsnap, Inc | Clinic/Center | 1951 Nw 7th Ave Ste 600, Miami, FL 33136-1128 | 2019-05-20 |
| 1114583895 | J&g Medical Pt Group Inc. | Clinic/Center | 2500 Sw 107th Ave Ste 41, Miami, FL 33165-2492 | 2019-05-17 |
| 1427537976 | First Step Medical Center | Clinic/Center | 600 Nw 35th Ave Ste 101102, Miami, FL 33125-4000 | 2018-08-07 |
| 1740792597 | Florida Medical Solutions Corp | Clinic/Center | 9521 Sw 138th Pl, Miami, FL 33186-7872 | 2017-11-02 |
| 1568985281 | Excel Medical Diagnostics 1, Inc. | Clinic/Center | 3898 W. Flagler Street, Miami, FL 33134 | 2017-07-25 |
| 1265971303 | Arturo Noguel | Clinic/Center | 10315 Nw 9th Street Cir Apt 201, Miami, FL 33172-3293 | 2017-02-22 |
| 1275071524 | Kine Vip Miami Inc | Clinic/Center | 7235 Sw 24th St Ste 209, Miami, FL 33155-1452 | 2017-02-07 |
| 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.