University of Miami
Organization Active NPI Physical Medicine & Rehabilitation Physician · Miami, FL
NPI 1689625196 · NPPES record last updated Dec 31, 2019
Key facts
- NPI
- 1689625196
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- Legal business name
- UNIVERSITY OF MIAMI
- Practice address
- 1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005 - Phone
- (305) 243-7688
- Fax
- (305) 243-8470
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Cesia A Sanchez
- Title
- Provider Enrollment Manager
- Phone
- (305) 243-6837
Corporate family (same tax ID) 24
Member organizations 21
Practitioners 38
-
Zainab Al Lawati, MD
-
Luis Angel Ayub Arano, NP-C
-
Meghan Cochrane, D.O.
-
Johanna Garibaldi, APRN
-
Sony M Issac, M.D.
-
Amir Mahajer, D.O.
-
Liudmila Milanes, APRN
-
Leslie R Morse, DO
-
Seyed Ali Mostoufi, M.D.
-
Shilmi Patel, PA-C
-
Norma Pena, APRN
-
Nicole Lilac Pontee, M.D.
-
Tricia Prince, DO
-
Yohjan Suarez-Martinez, ARNP
-
Melanie M Taylor, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031104000085 | FL | Part B Supplier - Clinic/Group Practice | 3870405301 |
Receives reassigned benefits from 25 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Aventura, FL; Doral, FL; Ft Lauderdale, FL; Miami, FL; Pembroke Pines, FL |
| O20200406001006 | FL | Part B Supplier - Clinic/Group Practice | 3274795109 |
Receives reassigned benefits from 3,555 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Umdc
Locations
1400 NW 12th Ave
Lbby
Miami, FL 33136
Phone (305) 243-6605
1150 NW 14th St
Ste 309
Miami, FL 33136
Phone (305) 243-4562
1611 NW 12th Ave
#2
Miami, FL 33136
1400 NW 12th Ave
Ste 118D
Miami, FL 33136
1400 NW 12th Ave
Ste 1700
Miami, FL 33136
1120 NW 14th St
Ste 101
Miami, FL 33136
1611 NW 12th Ave
Ste L105
Miami, FL 33136
Phone (305) 243-4569
1150 NW 14th St
Ste 402
Miami, FL 33136
1120 NW 14th St
Fl 9
Miami, FL 33136
Phone (305) 243-6605
1400 NW 12th Ave
#118D
Miami, FL 33136
1120 NW 14th St
Ste 946
Miami, FL 33136
1400 NW 12th Ave
#1700
Miami, FL 33136
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes |
Addresses
Primary practice location
1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Mailing address
1611 NW 12TH Ave
Box 016960 M851
Miami, FL 33136-1005
Phone (305) 243-7688
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264835100 | Medicaid | FL |
Other names
- UMiami Medicine - Physical Medicine and Rehabilitation
Other providers in Miami, FL
- University of Miami
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- University of Miami
- University of Miami
- University of Miami
- University of Miami
- University of Miami
- University of Miami
All providers in Miami, FL · Physical Medicine & Rehabilitation Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.