Primary Provider Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PRIMARY PROVIDER INC.

Practice address

9193 Sunset Dr Ste 210
Miami, FL 33173-3487

Phone

(305) 595-5558

Fax

(305) 595-4121

NPI assigned

Sep 14, 2012

Last updated

Sep 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jorge Pastoriza, M.D.NPI 1619958824

Title

Officer

Phone

(305) 595-5558

Specialties & licenses 1

Addresses

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.

• Jorge Pastoriza, MD

  • Cardiovascular Disease Physician
  • Miami, FL
  • NPI 1619958824
  Authorized official Same address or phone

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1215287594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9193 SUNSET DR STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733487",
            "telephone_number": "305-595-5558",
            "fax_number": "305-595-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9193 SUNSET DR STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733487",
            "telephone_number": "305-595-5558",
            "fax_number": "305-595-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PROVIDER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "PASTORIZA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "305-595-5558",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Plus Medical Ctr Inc
• Primary Wound Care Specialists LLC
• Primavera Adult Day Care Inc
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• Prime 1 Medical Center Corp
• Prime Adult Day Care LLC

• Cardiovascular Disease Physician in Miami, FL
• Providers in Miami, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.