United Services of South Florida

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

OS 6254 Issued in FL

Legal business name

UNITED SERVICES OF SOUTH FLORIDA

Practice address

2021 E Commercial Blvd
Suite 308
Ft Lauderdale, FL 33308-3763

Phone

(954) 202-6599

Fax

(305) 476-5752

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Nelson Alvarez

Title

Vice President

Phone

(954) 202-6599

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter A Martinez-Noda, D.O.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1861440935
  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215988837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E COMMERCIAL BLVD",
            "address_2": "SUITE 308",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083763",
            "telephone_number": "954-202-6599",
            "fax_number": "305-476-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E COMMERCIAL BLVD",
            "address_2": "SUITE 308",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083763",
            "telephone_number": "954-202-6599",
            "fax_number": "305-476-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SERVICES OF SOUTH FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-202-6599",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS 6254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.