Dorsal Medical Professionals LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME125615 Issued in FL

Legal business name

DORSAL MEDICAL PROFESSIONALS LLC

Practice address

3901 NW 79TH Ave Ste 129
Doral, FL 33166-6554

Phone

(305) 552-7660

NPI assigned

Oct 2, 2017

Last updated

Oct 2, 2017By 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

Alejandro Oporta

Title

Manager

Phone

(305) 552-7660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1053821348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 NW 79TH AVE STE 120",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666554",
            "telephone_number": "305-552-7660",
            "fax_number": "305-552-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 NW 79TH AVE STE 129",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666554",
            "telephone_number": "305-552-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORSAL MEDICAL PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "OPORTA",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-552-7660"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME125615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doral Therapy Center, Corp
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• Doral Therapy Servces Inc
• Max Dorcius
• Maritza L Doria Segura
• Dayana Dorta, L.M.T
• Kristina Dos Santos
• Jonathan Dougherty
• Dominique Douglas
• Aurora Doval, MSN, APRN, AGNP-C

• Family Medicine Physician in Doral, FL
• Providers in Doral, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.