Miami Comprehensive Medicine Group PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MIAMI COMPREHENSIVE MEDICINE GROUP PA

Practice address

4685 Ponce de Leon Blvd
Coral Gables, FL 33146-2108

Phone

(305) 851-2870

Fax

(305) 851-2871

NPI assigned

Oct 17, 2011

Organization subpart

No

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

Authorized official

Name

Heather L Mason, MDNPI 1891905386

Title

President

Phone

(305) 851-2870

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Heather L Mason, M.D.

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1891905386
  Medicare reassignment Care Compare group NPD Authorized official
• Hilton Gomes, M.D.

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1699972984
  Medicare reassignment Care Compare group NPD
• Ariel Moses, MD

  • Hospitalist Physician
  • Coral Gables, FL
  • NPI 1235472390
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1104101666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 PALERMO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346607",
            "telephone_number": "305-851-2870",
            "fax_number": "305-851-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462108",
            "telephone_number": "305-851-2870",
            "fax_number": "305-851-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI COMPREHENSIVE MEDICINE GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-851-2870",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miami Back Institute
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• Miami Center for Wellness and Aging
• Miami Counseling & Resource Center, Inc.
• Miami Fertility
• Miami Gables Anesthesia LLC
• Miami Headache Clinic PA
• Miami Health Diagnostic Center

• Internal Medicine Physician in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.