Active NPI
Axis Le Professional Medical Group
- Health Maintenance Organization
- Miami, FL
National Provider Identifier
1245587302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- AXIS LE PROFESSIONAL MEDICAL GROUP
- Practice address
- 2604 NW 21St Ter
Miami, FL 33142-7113 - Phone
- (305) 877-8184
- NPI assigned
- Aug 8, 2012
- 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
- Erendira Delgado
- Title
- President
- Phone
- (305) 877-8184
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
2604 NW 21St Ter
Miami, FL 33142-7113
Mailing address
2604 NW 21St Ter
Miami, FL 33142-7113
National Provider Directory
National Provider DirectoryLocations
2604 NW 21st Ter
Miami, FL 33142
Phone (305) 877-8184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344384000000",
"number": "1245587302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 NW 21ST TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331427113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 NW 21ST TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331427113",
"telephone_number": "305-877-8184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AXIS LE PROFESSIONAL MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A",
"authorized_official_last_name": "DELGADO",
"authorized_official_first_name": "ERENDIRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-877-8184"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.