Organization Active NPI

Acn Physicians Group Corp

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1093547481
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ACN PHYSICIANS GROUP CORP
Practice address
3146 SW 22ND St FL 2
Miami, FL 33145-3210
Phone
(786) 953-8874
Fax
(305) 400-8638
NPI assigned
Aug 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Vladimir SantosNPI 1750522298
Title
Ceo
Phone
(786) 953-8221

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3146 SW 22ND St FL 2
Miami, FL 33145-3210

Mailing address

7490 SW 23Rd St Ste 201
Miami, FL 33155-1419
Phone (786) 953-8221

National Provider Directory

National Provider Directory
Tax ID family
Acn Physicians Group Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3146 SW 22nd St
Fl 2
Miami, FL 33145
Phone (305) 964-7479

Networks

  • HealthSun Health Plans Network

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": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1093547481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 SW 23RD ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551419",
            "telephone_number": "786-953-8221",
            "fax_number": "786-953-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3146 SW 22ND ST FL 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453210",
            "telephone_number": "786-953-8874",
            "fax_number": "305-400-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACN PHYSICIANS GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-953-8221"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 15, 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.