Collaborative Cardiovascular, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME105336 Issued in FL

Legal business name

COLLABORATIVE CARDIOVASCULAR, LLC

Practice address

11220 SW 74TH CT
Miami, FL 33156-4520

Phone

(305) 662-5200

NPI assigned

Mar 14, 2016

Last updated

Mar 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Niberto Moreno, MDNPI 1629221528

Title

Owner

Phone

(305) 662-5200

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Niberto Angel Moreno, M.D.

  • Hospitalist Physician
  • Miami, FL
  • NPI 1629221528

  Cardiovascular Disease

  NPD (past) Authorized official

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1154782449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 SW 74TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331564520",
            "telephone_number": "305-662-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 SW 74TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331564520",
            "telephone_number": "305-662-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE CARDIOVASCULAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "NIBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-662-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME105336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Maria Coll
• Jorge R Coll, MD
• Rodrigo Coll
• Susana Coll
• Yvette Marie Coll, D.C.
• Collaborative Therapy Group, LLC
• Collaborative Womens Care (Collaborative Womens Care, LLC)
• Marta Collada, DENTAL HYGIENIST
• Julian Collado Betancourt
• Miriam Del Carmen Collado de Navarrete

• Cardiovascular Disease Physician in Miami, FL
• Providers in Miami, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.