Change Medical Institute

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME84722 Issued in FL

Legal business name

CHANGE MEDICAL INSTITUTE

Practice address

1830 NW 7TH St
Suite 230
Miami, FL 33125-3569

Phone

(786) 970-4674

NPI assigned

Dec 1, 2008

Organization subpart

No

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

Authorized official

Name

Juan Julio Hernandez Pombo

Title

Administrator

Phone

(786) 970-4674

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1023263266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 NW 7TH ST",
            "address_2": "SUITE 230",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253569",
            "telephone_number": "786-970-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 NW 7TH ST",
            "address_2": "SUITE 230",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253569",
            "telephone_number": "786-970-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE MEDICAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ POMBO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "JULIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-970-4674"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME84722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Chang, M.D.
• Sandra Chang
• Ta Chen Peter Chang, M.D.
• Vishala Chang, D.O
• Change Gain Achieve LLC
• Changge LLC
• Changing Behavior Together
• Changing Behaviors & Lives ABA Therapy, LLC
• Changing Lives Behavioral Support Corp
• Changing Lives Therapy LLC

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.