Organization Active NPI

Medtrust Network, Inc

  • Health Maintenance Organization
  • Miami, FL
National Provider Identifier
1013165794
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MEDTRUST NETWORK, INC
Practice address
2500 SW 107TH Ave
Suite # 40
Miami, FL 33165-2470
Phone
(305) 228-8498
Fax
(305) 228-8761
NPI assigned
Sep 5, 2008
Last updated
Sep 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Authorized official

Name
Mrs. Rosa De la Torre, M.D.
Title
President
Phone
(305) 228-8498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NU Primary

Addresses

Primary practice location

2500 SW 107TH Ave
Suite # 40
Miami, FL 33165-2470

Mailing address

2500 SW 107TH Ave
Suite # 40
Miami, FL 33165-2470
Phone (305) 228-8498

National Provider Directory

National Provider Directory

Locations

2500 SW 107th Ave
Ste 40
Miami, FL 33165
Phone (305) 228-8498

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1013165794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SW 107TH AVE",
            "address_2": "SUITE # 40",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652470",
            "telephone_number": "305-228-8498",
            "fax_number": "305-228-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SW 107TH AVE",
            "address_2": "SUITE # 40",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652470",
            "telephone_number": "305-228-8498",
            "fax_number": "305-228-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTRUST NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "DE LA TORRE",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-228-8498",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.