JACKSON MEMORIAL HOSPITAL (NPI# 1992034466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992034466 |
| Entity Type | Organization |
| Organization Name | JACKSON MEMORIAL HOSPITAL |
| Practice Address |
2101 Brickell Ave 712 Miami FL 33129-2128 |
| Practice Telephone | 7864267562 |
| Mailing Telephone | 7864267562 |
| Enumeration Date | 2009-12-13 |
| Last Update Date | 2009-12-13 |
| Authorized Official Name | ENRIQUE VAZQUEZ-VERA (RESIDENT PHYSICIAN IN OBGYN) |
| Authorized Official Telephone | 7864267562 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NW0100X |
General Acute Care Hospital Specialization: Women |
TRN10207 | 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 |
| 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 |
| 1922196062 | Jackson Memorial Hospital | General Acute Care Hospital | 3311 Sw 17th St, Miami, FL 33145-1821 | 2006-10-11 |
| 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 |
2101 BRICKELL AVE 712 |
| City | MIAMI |
| State | FL |
| Zip Code | 33129-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336570340 | Natalie Lanzet | Counselor | 2101 Brickell Ave, Apt. 3507, Miami, FL 33129-2128 | 2013-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029548 | Daniel Sheridan | Psychologist | 2730 Sw 3rd Ave., Suite 202-o, Miami, FL 33129 | 2018-07-10 |
| 1710494166 | Ernestina Dupote | Nurse Practitioner | 200 Se 15th Rd, 16a, Miami, FL 33129 | 2018-01-08 |
| 1497264212 | Maria Fumero Mussini | Acupuncturist | 64 Sw 18 Road, Miami, FL 33129 | 2017-09-25 |
| 1477082964 | Lillian Maite Moya | Nurse Practitioner | 2222 Brickell Ave Apt 5, Miami, FL 33129 | 2017-06-08 |
| 1104170091 | Rodolfo Antonio Paez | Massage Therapist | 2951 Sw 1 Ave, Miami, FL 33129 | 2012-10-31 |
| 1134489560 | Jolie M Cummings | Speech-Language Pathologist | 2625 S.w. 3 Avenue, Miami, FL 33129 | 2012-05-18 |
| 1396049656 | Lila Giselle Paredes Vera | Speech-Language Pathologist | 1723 Sw 2nd Ave Apt 1202, Miami, FL 33129 | 2010-12-30 |
| 1891939294 | Alexis Dominguez | Obstetrics & Gynecology | 3161 South Miami Ave, Ste 710, Miami, FL 33129 | 2009-04-29 |
| 1538360821 | Assisted Home Living #2 | Assisted Living Facility | 2942 Sw 4 Ave, Miami, FL 33129 | 2007-05-31 |
| 1518168889 | Assisted Home Living #4 | Assisted Living Facility | 316 Sw 18 Terr, Miami, FL 33129 | 2007-05-31 |
| Find all providers in zip 33129 | ||||
| Taxonomy Code | 282NW0100X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Women |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598862880 | Jackson Memorial Hospital | General Acute Care Hospital | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497205512 | Kristina Garcia | General Acute Care Hospital | 200 Vista View Ave, Eagle Lake, FL 33839-3264 | 2016-10-13 |
| 1194034124 | Cynthia E Suarez | General Acute Care Hospital | 318 Indian Trce, Suite 216, Weston, FL 33326-2996 | 2010-09-24 |
| 1831439074 | Kari Dawn Quinn | General Acute Care Hospital | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2013-02-26 |
| 1932473170 | Brandon Regional Hospital | General Acute Care Hospital | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2012-03-06 |
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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.