MARCEL J DERAY (NPI# 1932287323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932287323 |
| Entity Type | Individual |
| Full Name | MARCEL J DERAY |
| Credential | MD |
| Practice Address |
3200 Sw 60 Ct Ste #302 Miami FL 33153 |
| Mailing Address |
3200 Sw 60th Ct Ste 302 Miami FL 33155-4071 |
| Practice Telephone | 3056628330 |
| Practice Fax Number | 3056632813 |
| Mailing Telephone | 3056628330 |
| Mailing Fax Number | 3056632813 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
ME0042407 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 041979600 | 05 |
| Street Address |
3200 SW 60 CT STE #302 |
| City | MIAMI |
| State | FL |
| Zip Code | 33153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972698108 | Israel Alfonso | Psychiatry & Neurology | 3200 Sw 60 Ct, Suite #302, Miami, FL 33155 | 2006-10-04 |
| 1134664626 | Rani Alex John | Nurse Practitioner | 3200 Sw 60 Ct, 302, Miami, FL 33155 | 2016-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033402615 | Shores Transport, Inc | Non-emergency Medical Transport (VAN) | 415 Ne 111 Street, North Miami, FL 33153 | 2011-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548019 | Renacer Adult Day Care LLC | Clinic/Center | 1968 Nw 7th St, Miami, FL 33125-3411 | 2020-11-08 |
| 1689275372 | Loving Family Senior Care, LLC | Assisted Living Facility | 2323 Nw 34th St, Miami, FL 33142-5307 | 2020-11-08 |
| 1306447099 | Allan Ramirez | Behavior Technician | 13805 Sw 26th Ter, Miami, FL 33175-6575 | 2020-11-08 |
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1255932992 | Dfd Therapy Services LLC | Community/Behavioral Health | 2742 Sw 8th St Ste 8, Miami, FL 33135-4636 | 2020-11-07 |
| 1396346045 | Alea Home Services Corp | In Home Supportive Care | 10300 Sw 72nd St Ste 261a, Miami, FL 33173-3014 | 2020-11-07 |
| 1952902611 | Tallon Medical Center Inc | Community/Behavioral Health | 5600 Sw 135th Ave Ste 110, Miami, FL 33183-5125 | 2020-11-07 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1295336113 | Health Sunshine Wellness Corp | Case Management | 3525 Nw 7th St Ste 1a, Miami, FL 33125-4015 | 2020-11-06 |
| 1750982518 | Jesus M Perez | Behavior Technician | 117 Nw 42nd Ave Apt 812, Miami, FL 33126-5430 | 2020-11-06 |
| Find all providers in MIAMI | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942557863 | Henry Osso-rivera | Psychiatry & Neurology | 3100 Sw 62nd Ave Ofc, Miami, FL 33155-3009 | 2012-08-09 |
| 1972698108 | Israel Alfonso | Psychiatry & Neurology | 3200 Sw 60 Ct, Suite #302, Miami, FL 33155 | 2006-10-04 |
| 1427143619 | Elza Vasconcellos | Psychiatry & Neurology | 3850 Bird Rd Ste 701, Miami, FL 33146-1507 | 2006-10-04 |
| 1053849927 | Robert F. Cullen, Jr., Md., Pa | Psychiatry & Neurology | 15715 S Dixie Hwy Ste 407, Miami, FL 33157 | 2017-05-23 |
| 1336693274 | Pediatric Specialty Group, Inc. | Psychiatry & Neurology | 3100 Sw 62nd Ave, Suite 302, Miami, FL 33155-3009 | 2016-08-09 |
| 1609125905 | Anuj Jayakar | Psychiatry & Neurology | 3200 Sw 60th Ct Ste 302, Miami, FL 33155-4071 | 2012-08-31 |
| 1083973572 | Marytery Fajardo | Psychiatry & Neurology | 3200 Sw 60th Ct Ste 302, Miami, FL 33155-4071 | 2012-05-03 |
| 1700170180 | Matt Spencer Lallas | Psychiatry & Neurology | 3200 Sw 60th Ct Ste 302, Miami, FL 33155-4071 | 2011-06-03 |
| 1275832032 | Natanya Maio Mishal | Psychiatry & Neurology | 3200 Sw 60th Ct Ste 302, Miami, FL 33155 | 2011-03-19 |
| 1184949182 | Migvis Monduy | Psychiatry & Neurology | 3200 Sw 60th Ct Ste 302, Miami, FL 33155 | 2010-04-01 |
| 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.