Organization Active NPI

South Florida Institute of Pain Management LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Miami, FL
National Provider Identifier
1225029705
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME86935 Issued in FL
Legal business name
SOUTH FLORIDA INSTITUTE OF PAIN MANAGEMENT LLC
Practice address
10887 NW 17TH St Unit 108
Miami, FL 33172-2044
Phone
(786) 359-4999
Fax
(786) 359-4843
NPI assigned
Nov 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Bayron Malgor
Title
Owner
Phone
(305) 484-9205

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH7589 FL
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X ME86935 FL Primary

Addresses

Primary practice location

10887 NW 17TH St Unit 108
Miami, FL 33172-2044

Mailing address

10887 NW 17TH St Unit 108
Miami, FL 33172-2044
Phone (786) 359-4999

Other identifiers 1

IdentifierTypeStateIssuer
00598OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1225029705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10887 NW 17TH ST UNIT 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331722044",
            "telephone_number": "786-359-4999",
            "fax_number": "786-359-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10887 NW 17TH ST UNIT 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331722044",
            "telephone_number": "786-359-4999",
            "fax_number": "786-359-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA INSTITUTE OF PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "MALGOR",
        "authorized_official_first_name": "BAYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-484-9205"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7589",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME86935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00598",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.