Premium Provider Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PREMIUM PROVIDER SERVICES LLC

Practice address

19035 NW 43Rd CT
Miami Gardens, FL 33055-2644

Phone

(786) 312-3834

NPI assigned

May 31, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eliselly Rodriguez

Title

Ambr

Phone

(786) 312-3834

Specialties & licenses 1

Addresses

Tax ID family

Premium Provider Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Premium Provider Services LLC

  • Nursing Care Agency
  • Miami Lakes, FL
  • NPI 1285567156
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1669165007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19035 NW 43RD CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552644",
            "telephone_number": "786-312-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19035 NW 43RD CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552644",
            "telephone_number": "786-312-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM PROVIDER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ELISELLY",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "786-312-3834"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Prado Rodriguez
• Yanet Prado Santos
• Wendy Prado
• Prebonick Medical Services Inc
• Precious Safe Haven LLC
• Sybille Presendieu, APRN
• Price Choice Pharmacy 2
• Sabrina Prieto Gutierrez, RBT
• Lorena Prieto Sanchez
• Ayleen Prieto, PTA

• Community/Behavioral Health Agency in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.