Organization Active NPI

Stat Medical Clinic, Inc.

  • General Practice Physician
  • Miami Shores, FL
National Provider Identifier
1245456169
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME88240 Issued in FL
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

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Ramon BerenguerNPI 1154307874
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
207707100MedicaidFL

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.