Organization Active NPI

Nexus Medical Group of Miami Shores LLC

  • Family Medicine Physician
  • Miami Shores, FL
National Provider Identifier
1053929448
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEXUS MEDICAL GROUP OF MIAMI SHORES LLC
Practice address
9037 Biscayne Blvd
Miami Shores, FL 33138-3221
Phone
(305) 254-8900
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Robert Montes
Title
Chairman & Ceo
Phone
(305) 254-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9037 Biscayne Blvd
Miami Shores, FL 33138-3221

Mailing address

1914 NW 84TH Ave
Doral, FL 33126-1030
Phone (305) 254-8900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1053929448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 NW 84TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261030",
            "telephone_number": "305-254-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9037 BISCAYNE BLVD",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331383221",
            "telephone_number": "305-254-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS MEDICAL GROUP OF MIAMI SHORES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHAIRMAN & CEO",
        "authorized_official_telephone_number": "305-254-8900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.