Provider Demographics
NPI:1154484871
Name:MIAMI-DADE COUNTY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:MIAMI-DADE COUNTY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR, MEDICAID REIMB. PROGS.
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES-GAVILAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-995-2798
Mailing Address - Street 1:M-DCPS 1500 BISCAYNE BOULEVARD
Mailing Address - Street 2:ROOM 407M
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132
Mailing Address - Country:US
Mailing Address - Phone:305-995-2798
Mailing Address - Fax:305-995-2595
Practice Address - Street 1:1500 BISCAYNE BOULEVARD
Practice Address - Street 2:ROOM 407M
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132
Practice Address - Country:US
Practice Address - Phone:305-995-2798
Practice Address - Fax:305-995-2595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)