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EXECUTIVE PHYSICIANS OF SOUTH MIAMI
NPI 1033775036
Internal Medicine in Pinecrest, FL

Active since May 15, 2019CLIA 10D2310666 · Waiver
9619 S DIXIE HWY, PINECREST, FL 33156(786) 882-1919(786) 206-3161 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2024, May 15, 2019 (2 updates tracked since 2019).

About Executive Physicians Of South Miami NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXECUTIVE PHYSICIANS OF SOUTH MIAMI (NPI 1033775036) is a healthcare organization registered as an internal medicine in Pinecrest, Florida and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through September 8, 2026 and lists Abelardo Corona, Owner, as its authorized official.

NPPES Registry Identity

NPI1033775036
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTH DADE TRANSITIONAL CARE GROUP LLC
Location Address9619 S DIXIE HWYPinecrest, FL 33156-2804
Mailing AddressPo Box 165154Miami, FL 33116-5154 · (786) 882-1919 · Fax (786) 206-3161
Phone(786) 882-1919
Fax(786) 206-3161
Organization SubpartNo
Authorized OfficialAbelardo CoronaOwner · (786) 243-8073
Enumeration DateMay 15, 2019
Last NPPES UpdateJanuary 17, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2025
✔ NPI 1033775036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9619 S DIXIE HWY, Pinecrest, FL 33156
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Other Names 1

Doing Business AsExecutive Physicians Of South Miami

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2310666

South Dade Transitional Care Group LLC · Pinecrest, FL
Active · expires Sep 8, 2026
CLIA Number10D2310666
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorAbelardo Corona
Laboratory Phone(786) 882-1919
Laboratory LocationSouth Dade Transitional Care Group LLC9619 S Dixie Hwy, Pinecrest, FL 33156
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DESALY DANIELLA GONZALEZ
Physical Therapist
9619 S DIXIE HWY
MIAMI, FL 33156
Miami-Dade County (305) 722-0568
RICHARD P JACKSON
Physical Therapist
9619 S DIXIE HWY
MIAMI, FL 33156
Miami-Dade County (305) 722-0568
JULIAN DANIEL ABREU
Physical Therapist
9619 S DIXIE HWY
PINECREST, FL 33156
Miami-Dade County (305) 722-0568
HAYLEY GARICK ATC, LAT
Specialist/Technologist (Athletic Trainer)
9619 S DIXIE HWY
MIAMI, FL 33156
Miami-Dade County (305) 282-4589
DANIEL MANGANELLI
Physical Therapist (Orthopedic)
9619 S DIXIE HWY
PINECREST, FL 33156
Miami-Dade County (305) 722-0568
AYAIZA FERNANDEZ RN
Registered Nurse
9619 S DIXIE HWY
PINECREST, FL 33156
Miami-Dade County (786) 882-1919
MR. KEVIN MOSES DPT
Physical Therapist
9619 S DIXIE HWY
PINECREST, FL 33156
Miami-Dade County (305) 722-0568
FRANCISCO FERNANDEZ DO
Internal Medicine
9619 S DIXIE HWY
PINECREST, FL 33156
Miami-Dade County (786) 882-1919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Dade Transitional Care Group LLC's NPI number?

The NPI number for South Dade Transitional Care Group LLC is 1033775036. It was assigned to this organization in the NPPES registry on May 15, 2019. The provider is doing business as Executive Physicians Of South Miami.

Where is South Dade Transitional Care Group LLC located?

South Dade Transitional Care Group LLC is located at 9619 S Dixie Hwy, Pinecrest, FL 33156. The listed phone number is (786) 882-1919.

What is South Dade Transitional Care Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does South Dade Transitional Care Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2310666) is associated with this NPI, valid through September 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Dade Transitional Care Group LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list South Dade Transitional Care Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Dade Transitional Care Group LLC was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.