South Dade Transitional Care Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTH DADE TRANSITIONAL CARE GROUP LLC

Doing business as

Executive Physicians of South Miami

Practice address

9619 S Dixie Hwy
Pinecrest, FL 33156-2804

Phone

(786) 882-1919

Fax

(786) 206-3161

NPI assigned

May 15, 2019

Organization subpart

No

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

Authorized official

Name

Abelardo Corona, MD

Title

Owner

Phone

(786) 243-8073

Specialties & licenses 1

Addresses

Other names 1

• Executive Physicians of South Miami Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Ayaiza Fernandez, RN

  • Nurse Practitioner
  • Pinecrest, FL
  • NPI 1427856269
  NPD

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1033775036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165154",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331165154",
            "telephone_number": "786-882-1919",
            "fax_number": "786-206-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9619 S DIXIE HWY",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331562804",
            "telephone_number": "786-882-1919",
            "fax_number": "786-206-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DADE TRANSITIONAL CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "CORONA",
        "authorized_official_first_name": "ABELARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-243-8073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Physicians of South Miami",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sebastian A Serralta, PT, DPT
• Sarah Beth Shields
• Tighe Paul Shomer, MD
• Michael Alexander Slifer, M.D.
• Montserrat Friguls Smithies, PT
• South Dixie Dental
• Susan Steinhart, MA, CCC
• Astry Regla Suarez, PHARMACIST
• Suncare Health Services LLC
• Niulka Suriel

• Internal Medicine Physician in Pinecrest, FL
• Providers in Pinecrest, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.