Organization Active NPI

Cuello Medical Group Inc

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1104307370
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME00449683 Issued in FL
Legal business name
CUELLO MEDICAL GROUP INC
Practice address
10201 Hammocks Blvd Ste 123
Miami, FL 33196-3783
Phone
(305) 279-7020
Fax
(305) 598-8089
NPI assigned
Aug 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Authorized official

Name
Stephany Guzman
Title
Billing Director
Phone
(305) 532-9926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME00449683 FL Primary

Addresses

Primary practice location

10201 Hammocks Blvd Ste 123
Miami, FL 33196-3783

Mailing address

2921 SW 8TH St
Miami, FL 33135-2826
Phone (305) 532-9926

Other practice location 1

2921 SW 8th St
Miami, FL 33135-2826
Phone (305) 385-5582 ext. 409

National Provider Directory

National Provider Directory

Locations

2921 SW 8th St
Miami, FL 33135
Phone (305) 532-9945

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1104307370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352826",
            "telephone_number": "305-532-9926",
            "fax_number": "305-570-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 HAMMOCKS BLVD STE 123",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963783",
            "telephone_number": "305-279-7020",
            "fax_number": "305-598-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2921 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331352826",
            "country_code": "US",
            "telephone_number": "305-385-5582 x409",
            "fax_number": "305-385-5787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CUELLO MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "STEPHANY",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "305-532-9926"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME00449683",
            "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 Oct 14, 2019; 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.