Organization Active NPI

Medserv Direct, Inc.

  • Supports Brokerage Agency
  • Miami, FL
National Provider Identifier
1124242896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
MEDSERV DIRECT, INC.
Practice address
16434 SW 75TH Ter
Miami, FL 33193-3757
Phone
(786) 374-7013
NPI assigned
Apr 12, 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
Mrs. Geraldine B Diaz
Title
President
Phone
(786) 374-7013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

16434 SW 75TH Ter
Miami, FL 33193-3757

Mailing address

16434 SW 75TH Ter
Miami, FL 33193-3757
Phone (786) 374-7013

Other names 1

  • COUNTYWIDE MEDICAL BILLING Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124242896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16434 SW 75TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933757",
            "telephone_number": "786-374-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16434 SW 75TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933757",
            "telephone_number": "786-374-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSERV DIRECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-374-7013",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNTYWIDE MEDICAL BILLING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.