Miami Stroke, LLC

Primary specialty

Vascular Neurology PhysicianTaxonomy code 2084V0102X

Legal business name

MIAMI STROKE, LLC

Practice address

11750 SW 40TH St
Miami, FL 33175-3530

Phone

(305) 235-9550

NPI assigned

Feb 1, 2017

Last updated

Mar 17, 2018By 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

Jennifer Colen

Title

Credentialing Manager

Phone

(305) 235-9550

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

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.

• Alejandro M Forteza, M.D.

  • Vascular Neurology Physician
  • Miami, FL
  • NPI 1235159344
  Medicare reassignment

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1215475025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 SW 120TH ST STE 502",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867505",
            "telephone_number": "305-235-9550",
            "fax_number": "305-235-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753530",
            "telephone_number": "305-235-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12500 SW 46th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331754724",
            "country_code": "US",
            "telephone_number": "305-662-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIAMI STROKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "COLEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "305-235-9550"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P-TAN",
            "identifier": "23588R",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374074900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miami Spine & Posture Clinic
• Miami Spine and Wellness Center
• Miami Spine Center, PA
• Miami Spine Clinic
• Miami Sporst Massage Center
• Miami Sunset Surgery Center,LLC
• Miami Sunshine Health Care Inc
• Miami Sunshine Medical Supply Corp
• Miami Supreme Home Services, LLC
• Miami Supreme Home Services, LLC

• Vascular Neurology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Vascular Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.