NPIMap

Organization Active NPI

Regency Vein Center of Miami, Inc

  • Specialist
  • Miami, FL
National Provider Identifier
1205111382
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
REGENCY VEIN CENTER OF MIAMI, INC
Practice address
11400 N Kendall Dr
Suite 214
Miami, FL 33176-1029
Phone
(305) 273-5511
Fax
(305) 273-6622
NPI assigned
Oct 20, 2011
Last updated
Oct 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Dr. Enrique Z Fraga, MDNPI 1265424881
Title
President
Phone
(305) 273-5511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

11400 N Kendall Dr
Suite 214
Miami, FL 33176-1029

Mailing address

11400 N Kendall Dr
Suite 214
Miami, FL 33176-1029
Phone (305) 273-5511

National Provider Directory

National Provider Directory

Locations

11400 N Kendall Dr
Ste 214
Miami, FL 33176
Phone (305) 273-5511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1205111382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 N KENDALL DR",
            "address_2": "SUITE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761029",
            "telephone_number": "305-273-5511",
            "fax_number": "305-273-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 N KENDALL DR",
            "address_2": "SUITE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761029",
            "telephone_number": "305-273-5511",
            "fax_number": "305-273-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY VEIN CENTER OF MIAMI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-273-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "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 Oct 20, 2011; 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.