MEDICARE: MR. OMAR GRANADO

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	103K00000X	Behavior Analyst	1-21-51547	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518314251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. OMAR GRANADO

Provider Business Mailing Address
First Line	:	3502 SW 156TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-4740
Country	:	US
Telephone Number	:	786-383-5671
Fax Number	:

Provider Business Practice Location Address
First Line	:	16366 SW 48TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-5133
Country	:	US
Telephone Number	:	786-383-5671
Fax Number	:

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

Provider Enumeration Date	:	05/23/2016
Last Update Date	:	01/03/2025

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

1942155411 — ANA BEATRIZ LINAYO DEL SOL
Practice Location Address:

16378 SW 48TH TER
MIAMI, FL
33185-5133

Practice Phone: 305-413-1847
Practice Fax:

1760830301 — NIURKA FLEITAS
Practice Location Address:

16366 SW 48TH TER
MIAMI, FL
33185-5133

Practice Phone: 305-519-1481
Practice Fax:

1386170942 — BELKIS DEL SOL PEREZ
Practice Location Address:

16378 SW 48TH TER
MIAMI, FL
33185-5133

Practice Phone: 305-560-4165
Practice Fax:

1174504690 — MR. FABIO MARIANO MEHRGUT M.D.
Practice Location Address:

16255 SW 83RD LN
MIAMI, FL
33193-5133

Practice Phone: 786-479-7878
Practice Fax: 305-246-5880

1194736959 — RAFAH ABDELMONEM DDS
Practice Location Address:

1505 NW 167TH ST , SUITE 100
MIAMI, FL
33169-5133

Practice Phone: 305-625-5400
Practice Fax:

Directions to “ MR. OMAR GRANADO ” 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.