Organization Active NPI

Fenix Medical Patners, LLC

  • Internal Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1215255187
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 49908 Issued in FL
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

Updated by the provider on Jun 7, 2013

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20150609001647 FL Part B Supplier - Clinic/Group Practice 9335460898 Receives reassigned benefits from 5 practitioners
Practice locations: Hialeah, FL; Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.