Kendall Urgent Care Corp

Primary specialty

Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X

License

95729 Issued in FL

Legal business name

KENDALL URGENT CARE CORP

Practice address

9995 SW 72ND St Ste 206
Miami, FL 33173-4662

Phone

(305) 603-7800

Fax

(305) 603-7796

NPI assigned

Apr 23, 2010

Organization subpart

No

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

Authorized official

Name

Ernesto L Izquierdo, MD

Title

President

Phone

(305) 228-6400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1033436555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8356 SW 40 STREET SUITE L",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-228-6400",
            "fax_number": "305-228-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 SW 72ND ST STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734662",
            "telephone_number": "305-603-7800",
            "fax_number": "305-603-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL URGENT CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "IZQUIERDO",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-228-6400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "95729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME",
            "identifier": "95729",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendall Square Dental Studio PLLC
• Kendall Therapeutics Inc
• Kendall Therapy for Kids Corp
• Kendall Union Medical Supply Corp
• Kendall Urgent Care
• Kendall Urology LLC
• Kendall Westchester Haven Alf, LLC
• Kendall Woman Care, Inc
• Zoe Kendeigh
• Tiombe Bisa Kendrick-Dunn, EDD, NCSP

• Pediatric Emergency Medicine (Emergency Medicine) Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pediatric Emergency Medicine (Emergency Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.