Organization Active NPI

Primenet Medical Group of Kendall

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1093007387
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMENET MEDICAL GROUP OF KENDALL
Practice address
9000 SW 137TH Ave
Suite 115
Miami, FL 33186-1411
Phone
(305) 387-1981
Fax
(305) 387-1939
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Mrs. Maggie Torres
Title
Adminstrator
Phone
(954) 983-1220

Specialties & licenses 1

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

Addresses

Primary practice location

9000 SW 137TH Ave
Suite 115
Miami, FL 33186-1411

Mailing address

9000 SW 137TH Ave
Suite 115
Miami, FL 33186-1411
Phone (305) 387-1981

Other identifiers 2

IdentifierTypeStateIssuer
037965400MedicaidFL
045341200MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1093007387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SW 137TH AVE",
            "address_2": "SUITE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861411",
            "telephone_number": "305-387-1981",
            "fax_number": "305-387-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SW 137TH AVE",
            "address_2": "SUITE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861411",
            "telephone_number": "305-387-1981",
            "fax_number": "305-387-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMENET MEDICAL GROUP OF KENDALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "954-983-1220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037965400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045341200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.