Active NPI
Icred Solutions, LLC
- Orthopaedic Hand Surgery Physician
- Doral, FL
National Provider Identifier
1043077522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- Legal business name
- ICRED SOLUTIONS, LLC
- Practice address
- 3750 NW 87TH Ave Ste 500
Doral, FL 33178-2433 - Phone
- (305) 284-7484
- NPI assigned
- Mar 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Pelayo
- Title
- Ceo
- Phone
- (305) 284-7484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | Primary |
Addresses
Primary practice location
3750 NW 87TH Ave Ste 500
Doral, FL 33178-2433
Mailing address
3750 NW 87TH Ave Ste 500
Doral, FL 33178-2433
Phone (305) 284-7484
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709251200000",
"number": "1043077522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 NW 87TH AVE STE 500",
"city": "DORAL",
"state": "FL",
"postal_code": "331782433",
"telephone_number": "305-284-7484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 NW 87TH AVE STE 500",
"city": "DORAL",
"state": "FL",
"postal_code": "331782433",
"telephone_number": "305-284-7484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICRED SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-01",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A",
"authorized_official_last_name": "PELAYO",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-284-7484"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.