Organization Active NPI

Nova Community Services Corp

  • Internal Medicine Physician
  • Palmetto Bay, FL
National Provider Identifier
1083476402
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NOVA COMMUNITY SERVICES CORP
Practice address
9867 SW 184TH St
Palmetto Bay, FL 33157-6934
Phone
(786) 732-2287
Fax
(786) 732-2288
NPI assigned
Jan 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Beatriz Caridad Diaz GonzalezNPI 1992343040
Title
President
Phone
(786) 659-4909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

9867 SW 184TH St
Palmetto Bay, FL 33157-6934

Mailing address

9867 SW 184TH St
Palmetto Bay, FL 33157-6934
Phone (786) 732-2287

National Provider Directory

National Provider Directory
Tax ID family
Nova Community Services Corp2 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1083476402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9867 SW 184TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576934",
            "telephone_number": "786-732-2287",
            "fax_number": "786-732-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9867 SW 184TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331576934",
            "telephone_number": "786-732-2287",
            "fax_number": "786-732-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA COMMUNITY SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "DIAZ GONZALEZ",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_middle_name": "CARIDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-659-4909"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.