Organization Active NPI

Avanza Medical Group Inc

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1104599067
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AVANZA MEDICAL GROUP INC
Practice address
9370 Sunset Dr Ste A214
Miami, FL 33173-5453
Phone
(305) 773-3184
NPI assigned
Jul 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Rosa Karelia Naranjo
Title
Owner/President
Phone
(305) 712-6511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

9370 Sunset Dr Ste A214
Miami, FL 33173-5453

Mailing address

9370 Sunset Dr Ste A214
Miami, FL 33173-5453
Phone (305) 712-6511

National Provider Directory

National Provider Directory

Locations

9370 Sunset Dr
Ste A214
Miami, FL 33173
Phone (305) 773-3184

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1104599067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SUNSET DR STE A214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735453",
            "telephone_number": "305-712-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SUNSET DR STE A214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331735453",
            "telephone_number": "305-773-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANZA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "NARANJO",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "KARELIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "305-712-6511"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 12, 2021; 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.