Organization Active NPI

Pan-American Sports Medicine Institute of Miami

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1194993337
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME74131 Issued in FL
Legal business name
PAN-AMERICAN SPORTS MEDICINE INSTITUTE OF MIAMI
Practice address
3850 SW 87TH Ave
Suite 201
Miami, FL 33165-5400
Phone
(305) 227-3350
Fax
(305) 227-3306
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Mr. Juan Emilio Gonzalez
Title
President
Phone
(305) 227-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME74131 FL Primary

Addresses

Primary practice location

3850 SW 87TH Ave
Suite 201
Miami, FL 33165-5400

Mailing address

3850 SW 87TH Ave
Suite 201
Miami, FL 33165-5400
Phone (305) 227-3350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1194993337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 SW 87TH AVE",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655400",
            "telephone_number": "305-227-3350",
            "fax_number": "305-227-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 SW 87TH AVE",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655400",
            "telephone_number": "305-227-3350",
            "fax_number": "305-227-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN-AMERICAN SPORTS MEDICINE INSTITUTE OF MIAMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "EMILIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-227-3350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME74131",
            "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 Feb 11, 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.