Organization Active NPI

Novel Clinical Research Center, LLC

  • Neurology Physician
  • Miami, FL
National Provider Identifier
1194293324
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NOVEL CLINICAL RESEARCH CENTER, LLC
Practice address
9000 SW 137TH Ave Ste 211
Miami, FL 33186-1436
Phone
(786) 773-2737
Fax
(786) 773-2820
NPI assigned
Nov 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
Heber Luis Varela, MDNPI 1467626127
Title
Ceo
Phone
(786) 773-2737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

9000 SW 137TH Ave Ste 211
Miami, FL 33186-1436

Mailing address

9000 SW 137TH Ave Ste 211
Miami, FL 33186-1436
Phone (786) 773-2737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190619001962 FL Part B Supplier - Clinic/Group Practice 3577897941 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1194293324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SW 137TH AVE STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861436",
            "telephone_number": "786-773-2737",
            "fax_number": "786-773-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SW 137TH AVE STE 211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861436",
            "telephone_number": "786-773-2737",
            "fax_number": "786-773-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVEL CLINICAL RESEARCH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "VARELA",
        "authorized_official_first_name": "HEBER",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-773-2737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.