Active NPI
Fenix Medical Patners, LLC
- Internal Medicine Physician
- Coral Gables, FL
National Provider Identifier
1215255187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 49908
- Legal business name
- FENIX MEDICAL PATNERS, LLC
- Practice address
- 2695 Le Jeune Road
Suite 300
Coral Gables, FL 33134 - Phone
- (305) 441-9120
- Fax
- (305) 441-9432
- NPI assigned
- May 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eduardo Rubio
- Title
- Chief Operating Officer
- Phone
- (305) 929-0249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 49908 | FL | Primary |
Addresses
Primary practice location
2695 Le Jeune Road
Suite 300
Coral Gables, FL 33134
Mailing address
2695 Le Jeune Road
Suite 300
Coral Gables, FL 33134
Phone (305) 441-9120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3700 W 12th Ave
Ste 202
Hialeah, FL 33012
Phone (305) 929-0249
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Coral Gables, FL
- NPI 1558442368
-
- Internal Medicine Physician
- Coral Gables, FL
- NPI 1730199092
-
- Family Nurse Practitioner
- Coral Gables, FL
- NPI 1376392290
-
- Family Nurse Practitioner
- Coral Gables, FL
- NPI 1659967370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370563200000",
"number": "1215255187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2695 LE JEUNE ROAD",
"address_2": "SUITE 300",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33134",
"telephone_number": "305-441-9120",
"fax_number": "305-441-9432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2695 LE JEUNE ROAD",
"address_2": "SUITE 300",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33134",
"telephone_number": "305-441-9120",
"fax_number": "305-441-9432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FENIX MEDICAL PATNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-17",
"last_updated": "2013-06-07",
"status": "A",
"authorized_official_last_name": "RUBIO",
"authorized_official_first_name": "EDUARDO",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "305-929-0249",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 49908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.