Intercaribbean Medical Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INTERCARIBBEAN MEDICAL GROUP INC

Practice address

3850 SW 87TH Ave
Ste 305a
Miami, FL 33165-5400

Phone

(786) 609-8316

Fax

(305) 468-6367

NPI assigned

Apr 5, 2017

Organization subpart

No

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

Authorized official

Name

Rodolfo Hanabergh, MD

Title

President

Phone

(786) 609-8316

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1124551320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 SW 87TH AVE",
            "address_2": "STE 305A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655400",
            "telephone_number": "786-609-8316",
            "fax_number": "305-468-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 SW 87TH AVE",
            "address_2": "STE 305A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655400",
            "telephone_number": "786-609-8316",
            "fax_number": "305-468-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCARIBBEAN MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "HANABERGH",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-609-8316",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.