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CMS/MCH PRIMARY CARE PROGRAM
NPI 1104895424
Clinic/Center - Primary Care in Miami, FL

Active since March 17, 2006
3100 SW 62ND AVE, MIAMI, FL 33155(786) 624-2490(786) 624-5790 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cms/mch Primary Care Program NPPES

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

CMS/MCH PRIMARY CARE PROGRAM (NPI 1104895424) is a healthcare organization registered as a primary care in Miami, Florida and active in the NPI registry since March 2006. The organization lists Manuella Janvier-anglade, Program Administrator, as its authorized official.

NPPES Registry Identity

NPI1104895424
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCMS/MCH PRIMARY CARE PROGRAM
Location Address3100 SW 62ND AVEMiami, FL 33155-3009
Mailing Address3100 Sw 62nd AveMiami, FL 33155-3009 · (786) 624-2490 · Fax (786) 624-5790
Phone(786) 624-2490
Fax(786) 624-5790
Organization SubpartNo
Authorized OfficialManuella Janvier-angladeProgram Administrator · (786) 624-2490
Enumeration DateMarch 17, 2006
Last NPPES UpdateJune 13, 2008
✔ NPI 1104895424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3100 SW 62ND AVE, Miami, FL 33155
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Other Identifiers 1

Medicaid010060914FL

Other Providers at the Same Location NPPES 20

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

PATRICE NEIL PA-C
Physician Assistant (Medical)
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 666-6511
NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Pediatrics (Pediatric Cardiology)
3100 SW 62ND AVE, 2ND FLOOR, SUITE A- DEPARTMENT OF CARDIOLOGY
MIAMI, FL 33155
Miami-Dade County (786) 624-5876
LUCILA SERVITJE AZCARRAGA MD
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 669-5873
DR. YELENA SLOBODSCOY IGNATOV BSC, MD
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 669-5873
SIVANESAN SIVAGNANA GANESAN
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (786) 624-2855
HIMANSHU MEENA
Student in an Organized Health Care Education/Training Program
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 669-5873
DR. TERESITA FOX M.D.
Pediatrics
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (561) 624-9188
MRS. ERIN HERNANDEZ CPNP
Nurse Practitioner (Pediatrics)
3100 SW 62ND AVE
MIAMI, FL 33155
Miami-Dade County (305) 662-8357

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 Cms/Mch Primary Care Program's NPI number?

The NPI number for Cms/Mch Primary Care Program is 1104895424. It was assigned to this organization in the NPPES registry on March 17, 2006.

Where is Cms/Mch Primary Care Program located?

Cms/Mch Primary Care Program is located at 3100 SW 62nd Ave, Miami, FL 33155. The listed phone number is (786) 624-2490.

What is Cms/Mch Primary Care Program's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Cms/Mch Primary Care Program was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.