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KIMBERLY BAEZ NICODEMO MD
NPI 1215721667
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since April 08, 2025
3100 SW 62ND AVE, MIAMI, FL 33155(305) 669-5873 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kimberly Baez Nicodemo Md NPPES

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

KIMBERLY BAEZ NICODEMO MD (NPI 1215721667) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1215721667
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMBERLY BAEZ NICODEMOCredential: MD
Location Address3100 SW 62ND AVEMiami, FL 33155-3009
Mailing Address3100 Sw 62nd AveMiami, FL 33155-3009 · (305) 669-5873
Phone(305) 669-5873
Sole ProprietorNo
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1215721667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3100 SW 62ND AVE, Miami, FL 33155
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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 Kimberly Baez Nicodemo's NPI number?

The NPI number for Kimberly Baez Nicodemo is 1215721667. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Kimberly Baez Nicodemo located?

Kimberly Baez Nicodemo practices at 3100 SW 62nd Ave, Miami, FL 33155. The listed phone number is (305) 669-5873.

What is Kimberly Baez Nicodemo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kimberly Baez Nicodemo was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.