Active NPI
Stat Medical Clinic, Inc.
- General Practice Physician
- Miami Shores, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME88240
- Legal business name
- STAT MEDICAL CLINIC, INC.
- Practice address
- 9526 NE 2ND Ave
Suite 202
Miami Shores, FL 33138-2750 - Phone
- (305) 756-9466
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramon Berenguer
- Title
- MD
- Phone
- (305) 756-9466
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME88240 | FL | Primary |
Addresses
Primary practice location
9526 NE 2ND Ave
Suite 202
Miami Shores, FL 33138-2750
Mailing address
9526 NE 2ND Ave
Suite 202
Miami Shores, FL 33138-2750
Phone (305) 756-9466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207707100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
9526 NE 2nd Ave
Ste 202
Miami Shores, FL 33138
Phone (305) 756-9466
12302 NE 6th Ave
North Miami, FL 33161
Phone (305) 893-7698
Interoperability endpoints
- https://api.platform.athenahealth.com/3587/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 7
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.
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- NPI 1083607402
-
- Pediatrics Physician
- North Miami, FL
- NPI 1306826037
-
- Internal Medicine Physician
- Hollywood, FL
- NPI 1730252396
-
- Family Medicine Physician
- Hallandale Beach, FL
- NPI 1699768697
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- Geriatric Medicine (Internal Medicine) Physician
- Richland, WA
- NPI 1558316372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220486400000",
"number": "1245456169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9526 NE 2ND AVE",
"address_2": "SUITE 202",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382750",
"telephone_number": "305-756-9466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9526 NE 2ND AVE",
"address_2": "SUITE 202",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382750",
"telephone_number": "305-756-9466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAT MEDICAL CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2008-09-04",
"status": "A",
"authorized_official_last_name": "BERENGUER",
"authorized_official_first_name": "RAMON",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "305-756-9466"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "FL",
"license": "ME88240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207707100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.