Miami Dietitians Group Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIAMI DIETITIANS GROUP INC

Practice address

11413 SW 246TH Ter
Homestead, FL 33032-4655

Phone

(786) 592-1520

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Maria Eugenia Riccombeni, RD LD N

Title

Authorized Official

Phone

(786) 592-1520

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria D Blandon-Mayorga, RDN, LD/N

  • Registered Dietitian
  • Miami, FL
  • NPI 1487169389
  Medicare reassignment
• Maria Eugenia Riccombeni, RD, LD/N

  • Registered Dietitian
  • Miami, FL
  • NPI 1558757823
  Medicare reassignment

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1184229841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11413 SW 246TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330324655",
            "telephone_number": "786-592-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11413 SW 246TH TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330324655",
            "telephone_number": "786-592-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI DIETITIANS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "RICCOMBENI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "EUGENIA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-592-1520",
        "authorized_official_credential": "RD LD N"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND7293",
            "identifier": "7293",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mi Renacer Alf, Corp
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• Miami Bridge Youth & Family Services, Inc.
• Miami Dade Health and Rehabilitation Services
• Miami Gastro LLC
• Miami Hematology and Oncology Associates LLC
• Miami Management Services Corp
• Miami Pharmacy & Discount Inc
• Miami Systemic Solutions Inc

• Clinic/Center in Homestead, FL
• Providers in Homestead, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.