ENT Group, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ENT GROUP, LLC

Practice address

2400 SW 69TH Ave Ste 140
Miami, FL 33155-2947

Phone

(305) 450-1757

Fax

(305) 265-4844

NPI assigned

Aug 8, 2021

Last updated

Sep 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Octavio CarrenoNPI 1629039409

Title

Manager

Phone

(305) 450-1757

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

ENT Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• ENT Group, LLC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Miami, FL
  • NPI 1912779984
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• ENT Group, LLC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Miami, FL
  • NPI 1912779984
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Octavio De Jesus Carreno, M.D

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Miami, FL
  • NPI 1629039409
  Medicare reassignment NPD Authorized official
• Narciso Lino Gomez, M.D.

  • Colon & Rectal Surgery Physician
  • Miramar, FL
  • NPI 1710178116
  NPD (past)
• Carlos Perez, M.D.

  • Family Medicine Physician
  • Coral Gables, FL
  • NPI 1528225638
  NPD (past)

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1033883574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SW 69TH AVE STE 140",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552947",
            "telephone_number": "305-450-1757",
            "fax_number": "305-265-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SW 69TH AVE STE 140",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552947",
            "telephone_number": "305-450-1757",
            "fax_number": "305-265-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-08",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "CARRENO",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-450-1757"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxana Enriquez
• Yasniel Enriquez, LCSW
• Yoel Enriquez, ARNP
• Orlando C Enrizo, M.D.
• Jesus Manuel Ensenat Rojas, LMT
• ENT Group, LLC
• Robert Enterline
• Envision Mindcare
• Envision Mobile Optical
• Envision Wellness Co.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.