Carmen a Sierra MD MG LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036094303 Issued in IL

Legal business name

CARMEN A SIERRA MD MG LLC

Practice address

7459 Gathering Loop
Reunion, FL 34747-3128

Phone

(773) 425-3525

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Carmen A Sierra, M.D.

Title

Owner

Phone

(773) 425-3525

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1124410014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7459 GATHERING LOOP",
            "city": "REUNION",
            "state": "FL",
            "postal_code": "347473128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7459 GATHERING LOOP",
            "city": "REUNION",
            "state": "FL",
            "postal_code": "347473128",
            "telephone_number": "773-425-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN A SIERRA MD MG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-425-3525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036094303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kendal Warren

• Family Medicine Physician in Reunion, FL
• Providers in Reunion, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.