Organization Active NPI

Allegiant Medical and Research Center

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1003478595
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALLEGIANT MEDICAL AND RESEARCH CENTER
Practice address
10240 SW 56TH St Ste 105
Miami, FL 33165-7066
Phone
(786) 332-4577
Fax
(786) 332-4367
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Aniel Navarro Marin, MDNPI 1750724621
Title
Medical Director/ Provider
Phone
(786) 343-2122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10240 SW 56TH St Ste 105
Miami, FL 33165-7066

Mailing address

10240 SW 56TH St Ste 105
Miami, FL 33165-7066
Phone (786) 332-4577

Other practice location 1

2500 SW 107th Ave Ste 47
Miami, FL 33165-2492
Phone (786) 615-2839

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drnavarro@allegiantmed.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221129000358 FL Part B Supplier - Clinic/Group Practice 7810365665 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

10240 SW 56th St
Ste 105
Miami, FL 33165
Phone (786) 281-5820

Practitioners & affiliated clinicians

Practitioners 1

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": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1003478595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 SW 56TH ST STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657066",
            "telephone_number": "786-332-4577",
            "fax_number": "786-332-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 SW 56TH ST STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657066",
            "telephone_number": "786-332-4577",
            "fax_number": "786-332-4367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 SW 107th Ave Ste 47",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331652492",
            "country_code": "US",
            "telephone_number": "786-615-2839",
            "fax_number": "786-615-2645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLEGIANT MEDICAL AND RESEARCH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "NAVARRO MARIN",
        "authorized_official_first_name": "ANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ PROVIDER",
        "authorized_official_telephone_number": "786-343-2122",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drnavarro@allegiantmed.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "10240 SW 56th St Ste 105",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331657066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.