Organization Active NPI

Coral Gables Cardiology Inc

  • Cardiovascular Disease Physician
  • Coral Gables, FL
National Provider Identifier
1144250440
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CORAL GABLES CARDIOLOGY INC
Practice address
3100 Douglas Avenue
Coral Gables, FL 33134
Phone
(305) 441-6814
Fax
(305) 460-7024
NPI assigned
Jul 3, 2006
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Mrs. Carla F Guerrero
Title
Administrator
Phone
(305) 559-6687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

3100 Douglas Avenue
Coral Gables, FL 33134

Mailing address

3421 SW 107TH Ave
Miami, FL 33165-3632
Phone (305) 559-6687

Other identifiers 1

IdentifierTypeStateIssuer
062962600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080424000032 FL Part B Supplier - Clinic/Group Practice 2769560234 Receives reassigned benefits from 8 practitioners
Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5927 SW 70th St
Unit 439031
South Miami, FL 33243
Phone (305) 669-2833

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1144250440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653632",
            "telephone_number": "305-559-6687",
            "fax_number": "305-226-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DOUGLAS AVENUE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-441-6814",
            "fax_number": "305-460-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL GABLES CARDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-559-6687",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062962600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.