Active NPI
Buena Aventura Medical Group, LLC
- Cardiovascular Disease Physician
- North Miami Beach, FL
National Provider Identifier
1194109447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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, LI
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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.