Organization Active NPI

Visions Healthcare - El Portal Inc

  • Family Medicine Physician
  • El Portal, FL
National Provider Identifier
1093735300
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VISIONS HEALTHCARE - EL PORTAL INC
Practice address
8642 NE 2ND Ave
El Portal, FL 33138-3004
Phone
(305) 751-7301
NPI assigned
Jul 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Malcom R Roy
Title
President
Phone
(305) 751-7301

Specialties & licenses 1

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

Addresses

Primary practice location

8642 NE 2ND Ave
El Portal, FL 33138-3004

Mailing address

8642 NE 2ND Ave
El Portal, FL 33138-3004
Phone (305) 751-7301

National Provider Directory

National Provider Directory
Tax ID family
Midland Medical - Miami Shores Inc2 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.

Locations

8642 NE 2nd Ave
El Portal, FL 33138
Phone (305) 751-7301

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093735300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8642 NE 2ND AVE",
            "city": "EL PORTAL",
            "state": "FL",
            "postal_code": "331383004",
            "telephone_number": "305-751-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8642 NE 2ND AVE",
            "city": "EL PORTAL",
            "state": "FL",
            "postal_code": "331383004",
            "telephone_number": "305-751-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONS HEALTHCARE - EL PORTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "MALCOM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-751-7301"
    },
    "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 El Portal, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.