Organization Active NPI

Madorsky, Pinon, Bruck & Mennie Urology Center of South Florida PA

  • Urology Physician
  • Miami, FL
National Provider Identifier
1003021296
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MADORSKY, PINON, BRUCK & MENNIE UROLOGY CENTER OF SOUTH FLORIDA PA
Practice address
7400 SW 87TH Ave
Suite 240
Miami, FL 33173-5458
Phone
(305) 270-6010
Fax
(305) 598-7754
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maria Delcarmen Lopez
Title
Office Manager
Phone
(305) 270-6010

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZP0101X
Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208800000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

7400 SW 87TH Ave
Suite 240
Miami, FL 33173-5458

Mailing address

7400 SW 87TH Ave
Suite 240
Miami, FL 33173-5458
Phone (305) 270-6010

Other names 1

  • UROLOGY CENTER OF SOUTH FLORIDA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041011000517 FL Part B Supplier - Clinic/Group Practice 3971563370 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Homestead, FL; Miami, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0710801Madorsky and Pinon Urology of South Florida PA7400 SW 87TH Ave Ste 240, Miami, FL 33173Provider-performed microscopyJan 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
Cohen Madorsky Pinon S Cruz Urology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7400 SW 87th Ave
Ste 240
Miami, FL 33173
Phone (305) 270-6000

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1003021296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 SW 87TH AVE",
            "address_2": "SUITE 240",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735458",
            "telephone_number": "305-270-6010",
            "fax_number": "305-598-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 SW 87TH AVE",
            "address_2": "SUITE 240",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735458",
            "telephone_number": "305-270-6010",
            "fax_number": "305-598-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADORSKY, PINON, BRUCK & MENNIE UROLOGY CENTER OF SOUTH FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DELCARMEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-270-6010"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UROLOGY CENTER OF SOUTH FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UROLOGY CENTER OF SOUTH FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.