| Diamina Molina Vidal, ARNP | |
|
1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172-2742 | |
| (305) 783-9480 | |
| Not Available |
| Full Name | Diamina Molina Vidal |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1414 Nw 107th Ave Ste 301, Sweetwater, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861970428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9423055 (Florida) | Primary |
| 207Q00000X | Family Medicine | 9423055 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kendall South Rehab Inc | 4587083217 | 3 |
| Genesis Wound Care Center Llc | 7517358575 | 11 |
| Pine Island Medical Inc | 4082035035 | 6 |
| Ajandnd Corp | 2567873524 | 5 |
| Entity Name | Kendall South Rehab Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275143372 PECOS PAC ID: 4587083217 Enrollment ID: O20200930001330 |
| Entity Name | South Medical Center Group Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740814458 PECOS PAC ID: 1052721461 Enrollment ID: O20201112002935 |
| Entity Name | Aj&nd Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275019515 PECOS PAC ID: 2567873524 Enrollment ID: O20201123002012 |
| Entity Name | Genesis Wound Care Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306516919 PECOS PAC ID: 7517358575 Enrollment ID: O20211229002174 |
| Entity Name | Pine Island Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275184855 PECOS PAC ID: 4082035035 Enrollment ID: O20240105001224 |
| Entity Name | Health Discovery Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073302469 PECOS PAC ID: 4789195488 Enrollment ID: O20250618004071 |
| Entity Name | Ninojesus Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538952973 PECOS PAC ID: 8426566431 Enrollment ID: O20250801000951 |
| Entity Name | Vidal Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922985316 PECOS PAC ID: 9032612809 Enrollment ID: O20250910000024 |
| Entity Name | Blue D Class Medspa & Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417721325 PECOS PAC ID: 7012404312 Enrollment ID: O20251011000640 |
| Entity Name | Bloom Blue Medical Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215827233 PECOS PAC ID: 4587152194 Enrollment ID: O20251023004925 |
| Entity Name | Universal Therapy Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295738672 PECOS PAC ID: 4486732153 Enrollment ID: O20260609001223 |
| Mailing Address | Practice Location Address |
|---|---|
| Diamina Molina Vidal, ARNP 3150 Nw 43rd St, Miami, FL 33142-4447 Ph: (786) 474-7632 | Diamina Molina Vidal, ARNP 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172-2742 Ph: (305) 783-9480 |
Freddy Duque, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1470 Nw 107th Ave Ste A, Sweetwater, FL 33172 Phone: 786-547-2091 |
Mr. Alexander Jorge, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2090 Nw 107th Ave, Sweetwater, FL 33172 Phone: 305-916-9136 |
Yilian Fiallo Lledias, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1470 Nw 107th Ave Ste G, Sweetwater, FL 33172 Phone: 305-594-8666 Fax: 305-594-0088 |
Michel Balan, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1470 Nw 107th Ave Ste M, Sweetwater, FL 33172 Phone: 786-238-7282 |
Erika D Carhuayo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1460 Nw 107th Ave Ste 27-a, Sweetwater, FL 33172 Phone: 305-293-8111 |
Diselia Lopez Blanco, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1695 Nw 110th Ave Ste 218, Sweetwater, FL 33172 Phone: 305-456-7580 Fax: 786-536-5689 |
Alexis Pedro Fernandez Dominguez, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1695 Nw 110th Ave Ste 218, Sweetwater, FL 33172 Phone: 305-456-7580 Fax: 786-536-5689 |