Organization Active NPI

Palm Vascular Center of Coral Gables

  • Vascular & Interventional Radiology Physician
  • Coral Gables, FL
National Provider Identifier
1164181533
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
PALM VASCULAR CENTER OF CORAL GABLES
Practice address
2601 SW 37TH Ave Ste 704
Coral Gables, FL 33133-2750
Phone
(305) 716-8225
Fax
(305) 716-8234
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Eric Rogers
Title
Ceo
Phone
(305) 716-8225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

2601 SW 37TH Ave Ste 704
Coral Gables, FL 33133-2750

Mailing address

2601 SW 37TH Ave Ste 704
Coral Gables, FL 33133-2750
Phone (305) 716-8225

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address catalina@palmvascular.com

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2176172Palm Vascular Center of Coral Gables, LLC2601 SW 37TH Ave Ste 704, Miami, FL 33133Certificate of waiverDec 9, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1164181533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 704",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331332750",
            "telephone_number": "305-716-8225",
            "fax_number": "305-716-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 SW 37TH AVE STE 704",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331332750",
            "telephone_number": "305-716-8225",
            "fax_number": "305-716-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VASCULAR CENTER OF CORAL GABLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-716-8225"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catalina@palmvascular.com",
            "affiliation": "N",
            "address_1": "2601 SW 37th Ave Ste 704",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331332750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.