Kidney MD LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY MD LLC

Practice address

1611 NW 12TH Ave
Miami, FL 33136-1005

Phone

(305) 631-2485

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Saul Gonzalez Montalvo, MD

Title

Owner

Phone

(787) 467-6746

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Saul Nicolas Gonzalez, M.D.

  • Nephrology Physician
  • North Miami Beach, FL
  • NPI 1174906861
  Medicare reassignment NPD

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1013634336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9737 NW 41 STREET PMB 626",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-631-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ MONTALVO",
        "authorized_official_first_name": "SAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-467-6746",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidiatrix Therapy, Inc.
• Kidney and Hypertension Specialist of Miami PA
• Kidney Care of Kendall Dialysis Center Inc.
• Kidney Health Solutions LLC
• Kidney Institute of Miami LLC
• Kidney Partners Coral Gables LLC
• Kidney Spa LLC
• Kidney Specialty Center Inc.
• Kidney Treatment and Hypertension Associates PA
• Kidneyspa at Bird Road, LLC

• Nephrology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.