Organization Active NPI

Icred Solutions, LLC

  • Orthopaedic Hand Surgery Physician
  • Doral, FL
National Provider Identifier
1043077522
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
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

Updated by the provider on Mar 1, 2024

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)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.