South Miami Medical, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SOUTH MIAMI MEDICAL, INC

Practice address

2550 NW 72ND Ave
Sute 208
Miami, FL 33122-1350

Phone

(305) 592-1573

Fax

(305) 597-1530

NPI assigned

Sep 12, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Dioscorida Acosta

Title

Ceo

Phone

(786) 326-4707

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1284249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284249600000",
    "number": "1184931172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 NW 72ND AVE",
            "address_2": "SUTE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221350",
            "telephone_number": "305-592-1573",
            "fax_number": "305-597-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 NW 72ND AVE",
            "address_2": "SUTE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221350",
            "telephone_number": "305-592-1573",
            "fax_number": "305-597-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MIAMI MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-12",
        "last_updated": "2010-09-12",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "DIOSCORIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-326-4707",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Miami Medical & Research Group Inc
• South Miami Medical Billing, Inc.
• South Miami Medical Center Inc
• South Miami Medical Group LLC
• South Miami Medical Group, Inc.
• South Miami Pediatric Professionals, PA
• South Miami Pediatries
• South Miami Pharmacy II LLC
• South Miami Recovery, Inc
• South Miami Rehabilitation, Inc.

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2010; 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.