Organization Active NPI

Wound Healing & Dermatology Institute Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1104977958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WOUND HEALING & DERMATOLOGY INSTITUTE INC
Practice address
1333 Coral Way
Suite 200
Miami, FL 33145-2948
Phone
(305) 398-3298
NPI assigned
Jan 16, 2007
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
Mr. Jorge A. Quintna
Title
Director
Phone
(305) 398-3298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1333 Coral Way
Suite 200
Miami, FL 33145-2948

Mailing address

9120 NW 162ND Ter
Miami Lakes, FL 33018-6302
Phone (305) 362-1788

Other identifiers 1

IdentifierTypeStateIssuer
6871OtherFLHEALTH CARE CLINIC LICENS

National Provider Directory

National Provider Directory

Locations

1333 SW 22nd St
Ste 200
Miami, FL 33145
Phone (305) 398-3298

Practitioners & affiliated clinicians

Practitioners 3

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104977958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 NW 162ND TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186302",
            "telephone_number": "305-362-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 CORAL WAY",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452948",
            "telephone_number": "305-398-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND HEALING & DERMATOLOGY INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUINTNA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-398-3298",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE CLINIC LICENS",
            "identifier": "6871",
            "state": "FL"
        }
    ],
    "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 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.