FAMILY &PEDIATRIC MEDICAL CENTER INC (NPI# 1972796514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972796514 |
| Entity Type | Organization |
| Organization Name | FAMILY &PEDIATRIC MEDICAL CENTER INC |
| Practice Address |
4005 Nw 114th Ave Suite 2 Doral FL 33178-4374 |
| Practice Telephone | 3055912988 |
| Mailing Telephone | 3055912988 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2014-12-20 |
| Authorized Official Name | WILSON LOPEZ (VICE PRESIDENT) |
| Authorized Official Telephone | 3055912988 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PEDIATRIC &FAMILY MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
4005 NW 114TH AVE SUITE 2 |
| City | DORAL |
| State | FL |
| Zip Code | 33178-4374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730134511 | Doral Medical Office Corp | Specialist | 4005 Nw 114th Ave, Suite 22, Doral, FL 33178-4374 | 2006-05-23 |
| 1376898700 | Magdalena Perez Rivera Md Pl | Internal Medicine | 4005 Nw 114th Ave, Suite 3, Doral, FL 33178-4374 | 2012-07-23 |
| 1558633941 | Richard Michael Dreize Md Pl | Psychiatry & Neurology | 4005 Nw 114th Ave, Ste 3, Doral, FL 33178-4374 | 2012-02-01 |
| 1467769497 | We Care Medical Group | General Practice | 4005 Nw 114th Ave, Suite 26, Doral, FL 33178-4374 | 2010-09-13 |
| 1164674040 | Martha Hernandez-illas Pa | Internal Medicine | 4005 Nw 114th Ave, Suite 3, Doral, FL 33178-4374 | 2008-10-22 |
| 1750400479 | Carmen Palacio | Physical Therapist | 4005 Nw 114th Ave, Suite 20, Doral, FL 33178-4374 | 2007-03-28 |
| 1912915604 | Jorge G Cheng | Physician Assistant | 4005 Nw 114th Ave, Suite 22, Doral, FL 33178-4374 | 2006-08-04 |
| 1740210475 | On The Way Home Care, Inc | Home Health | 4005 Nw 114th Ave, Suite 4, Doral, FL 33178 | 2006-07-05 |
| 1770510216 | St Louis Rehabilitation Program Inc. | Clinic/Center | 4005 Nw 114th Ave, Suite 5, Doral, FL 33178-4374 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571801 | The Velis Brothers Dental Team | Dentist | 10449 Nw 41 St., Doral, FL 33178 | 2020-09-03 |
| 1316598188 | Marli Catturini Echegoyen | Behavior Technician | 8652 Nw 112th Ct, Doral, FL 33178 | 2019-09-24 |
| 1700343043 | Matilde Lidia Lewis | Registered Nurse | 9915 Nw 41 St, Suite 230, Doral, FL 33178 | 2019-02-22 |
| 1700366622 | Polyclinic Healthcare Corp | Family Medicine | 10800 Nw 58th St, Doral, FL 33178 | 2018-08-20 |
| 1689022691 | Zeida M Prendes-guerra | Behavioral Analyst | 5620 Nw 107th Ave Apt 1512, Doral, FL 33178 | 2016-05-31 |
| 1437519014 | Isel Gonzalez | Nurse Practitioner | 11573 Nw 69 Terr, Doral, FL 33178 | 2016-02-25 |
| 1114335189 | Mia Mccarthy | Student in an Organized Health Care Education/Training Program | 10045 Nw 46th St, Doral, FL 33178 | 2014-07-23 |
| 1043641269 | Ultimate Performance Fitness Consultants Pl | Clinic/Center | 9831 Nw 58th St #130, Doral, FL 33178 | 2013-12-13 |
| 1871924845 | Silvana Newman | Behavioral Analyst | 8249 Nw 36th Street Suite 206, Miami, FL 33178 | 2013-12-02 |
| 1154755478 | Dina Garabedian | Physician Assistant | 7952 Nw 114th Ct, Miami, FL 33178 | 2013-08-22 |
| Find all providers in zip 33178 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376715441 | Charles A Lascano | Family Medicine | 2000 Nw 87th Ave, Suite 101 and 201, Doral, FL 33172-2654 | 2008-03-29 |
| 1801497748 | Ada Licia Pernas | Family Medicine | 8400 Nw 33rd St Ste 201, Doral, FL 33122-1937 | 2020-11-06 |
| 1790386639 | Jacqueline Rodriguez | Family Medicine | 8400 Nw 33rd St Ste 201, Doral, FL 33122-1937 | 2020-11-06 |
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|---|---|---|---|---|
| 1811598105 | Foundations Medical Center Pllc | Family Medicine | 4467 Commons Dr W Ste F-g, Destin, FL 32541-8454 | 2020-11-04 |
| 1831704345 | Vasundhara Kuchibhotla | Family Medicine | 1630 Sw 75th Ter, Gainesville, FL 32607-6604 | 2020-09-11 |
| 1356952170 | Discreet Health Solutions, LLC | Family Medicine | 7124 Pelican Island Dr, Tampa, FL 33634-7463 | 2020-08-14 |
| 1033728019 | Nana Aisha Garba | Family Medicine | 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 | 2020-07-27 |
| 1043838451 | Lisa M Parker | Family Medicine | 7955 Bay St Ste 2, Sebastian, FL 32958-3282 | 2020-07-13 |
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1588287239 | Sarai L Gonzalez | Family Medicine | 16182 Nw 21st St, Pembroke Pines, FL 33028-1255 | 2020-05-28 |
| 1184247033 | Wellness Solutions 2020 LLC | Family Medicine | 2300 N Commerce Pkwy Ste 321, Weston, FL 33326-3257 | 2020-05-27 |
| 1780207910 | Homeville Medical Care | Family Medicine | 11040 Nw 18th Ct, Plantation, FL 33322-3407 | 2020-05-21 |
| 1942829536 | Health Medical Ultra Limited Liability Company | Family Medicine | 1760 Havendale Blvd Nw, Winter Haven, FL 33881-1224 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
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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.