NPIMap

Organization Active NPI

South Florida Spine & Sports Specialists, LLC

  • Physical Medicine & Rehabilitation Physician
  • Miramar, FL
National Provider Identifier
1013377191
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SOUTH FLORIDA SPINE & SPORTS SPECIALISTS, LLC
Practice address
3000 SW 148TH Ave
Suite 115
Miramar, FL 33027-4169
Phone
(787) 550-5625
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Francisco RomeroNPI 1316938236
Title
Partner
Phone
(787) 550-5625

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X

Addresses

Primary practice location

3000 SW 148TH Ave
Suite 115
Miramar, FL 33027-4169

Mailing address

3000 SW 148TH Ave
Suite 115
Miramar, FL 33027-4181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170216000885 FL Part B Supplier - Clinic/Group Practice 1951684968 Receives reassigned benefits from 8 practitioners
Practice locations: Miramar, FL
O20170223000481 FL DME Supplier - Sports MedicineDME Supplier - Physician - Physical and Rehabilitation 1951684968 Practice locations: Miramar, FL

National Provider Directory

National Provider Directory

Locations

3000 SW 148th Ave
Ste 115
Miramar, FL 33027
Phone (954) 438-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13984/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

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": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1013377191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SW 148TH AVE",
            "address_2": "SUITE 115",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SW 148TH AVE",
            "address_2": "SUITE 115",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274169",
            "telephone_number": "787-550-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA SPINE & SPORTS SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "787-550-5625"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.