MEDICARE: SUSANA PLACENCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	AL3725	FL

General Provider Information

NPI Number	:	1497152730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSANA PLACENCIA

Provider Business Mailing Address
First Line	:	1411 W 43RD PL
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-7607
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15955 SW 96TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-1271
Country	:	US
Telephone Number	:	786-467-3430
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2014
Last Update Date	:	12/02/2014

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1528052388 — AGUSTIN JAVIER ARRIETA M.D.
Practice Location Address:

15955 SW 96TH ST , SUITE 303
MIAMI, FL
33196-1271

Practice Phone: 305-380-6773
Practice Fax: 786-533-1680

1831394709 — DR. ANISH PAREKH MD
Practice Location Address:

15955 SW 96TH ST , SUITE 303
MIAMI, FL
33196-1271

Practice Phone: 305-380-6773
Practice Fax: 786-533-1680

1114122249 — CHARLES J JORDAN MD
Practice Location Address:

15955 SW 96TH ST , SUITE 401
MIAMI, FL
33196-1271

Practice Phone: 786-467-3430
Practice Fax: 786-533-9695

1932309754 — DR. FRANCISCO G PERNAS M.D.
Practice Location Address:

15955 SW 96TH ST , # 303
MIAMI, FL
33196-1271

Practice Phone: 305-380-6773
Practice Fax: 786-533-1680

1124388954 — MRS. DANIELLE PECH CARSON ARNP
Practice Location Address:

15955 SW 96TH ST , SUITE 102
MIAMI, FL
33196-1271

Practice Phone: 786-467-3140
Practice Fax: 786-533-9695

1376898015 — GREY DOG III, INC
Practice Location Address:

15955 SW 96TH ST , SUITE 105
MIAMI, FL
33196-1271

Practice Phone: 305-752-0080
Practice Fax: 305-752-0065

Directions to “ SUSANA PLACENCIA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.