Organization Active NPI

Lissette Molina MD PA

  • Obstetrics Physician
  • South Miami, FL
National Provider Identifier
1184891434
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
ME101165 Issued in FL
Legal business name
LISSETTE MOLINA MD PA
Practice address
6141 Sunset Dr
Suite 401
South Miami, FL 33143-5028
Phone
(305) 667-4511
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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

Authorized official

Name
Dr. Lissette Molina, M.D.
Title
Presidemt
Phone
(305) 667-4511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X ME101165 FL Primary

Addresses

Primary practice location

6141 Sunset Dr
Suite 401
South Miami, FL 33143-5028

Mailing address

6141 Sunset Dr
Suite 401
South Miami, FL 33143-5028
Phone (305) 667-4511

Other identifiers 1

IdentifierTypeStateIssuer
ME101165OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

6141 Sunset Dr
Ste 401
South Miami, FL 33143
Phone (305) 667-4511

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1184891434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 SUNSET DR",
            "address_2": "SUITE 401",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435028",
            "telephone_number": "305-667-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 SUNSET DR",
            "address_2": "SUITE 401",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435028",
            "telephone_number": "305-667-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISSETTE MOLINA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "LISSETTE",
        "authorized_official_title_or_position": "PRESIDEMT",
        "authorized_official_telephone_number": "305-667-4511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "FL",
            "license": "ME101165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME101165",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.