Organization Active NPI

Buena Aventura Medical Group, LLC

  • Cardiovascular Disease Physician
  • North Miami Beach, FL
National Provider Identifier
1194109447
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
BUENA AVENTURA MEDICAL GROUP, LLC
Practice address
20818 W. Dixie Hwy
North Miami Beach, FL 33180-1147
Phone
(786) 520-3382
Fax
(786) 513-2203
NPI assigned
Jul 16, 2015
Organization subpart
Yes
Parent organization
BUENA AVENTURA MEDICAL GROUP, LIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Rodolfo Maldonado, MD
Title
President
Phone
(786) 520-3382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

20818 W. Dixie Hwy
North Miami Beach, FL 33180-1147

Mailing address

20818 W. Dixie Hwy
North Miami Beach, FL 33180-1147
Phone (786) 520-3382

National Provider Directory

National Provider Directory
Part of
Buena Aventura Medical Group LLC

Locations

20818 W Dixie Hwy
Unit C
Aventura, FL 33180
Phone (786) 520-3382

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1194109447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20818 W. DIXIE HWY",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331801147",
            "telephone_number": "786-520-3382",
            "fax_number": "786-513-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20818 W. DIXIE HWY",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331801147",
            "telephone_number": "786-520-3382",
            "fax_number": "786-513-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA AVENTURA MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUENA AVENTURA MEDICAL GROUP, LI",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-520-3382",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.