Organization Active NPI

Blue Medical Network Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1255446902
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BLUE MEDICAL NETWORK INC
Practice address
330 SW 27TH Ave
Suite 703
Miami, FL 33135-2961
Phone
(305) 646-6722
Fax
(305) 646-6723
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Rolando Valdes
Title
President
Phone
(305) 444-2651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

330 SW 27TH Ave
Suite 703
Miami, FL 33135-2961

Mailing address

330 SW 27TH Ave
Suite 703
Miami, FL 33135-2961
Phone (305) 646-6722

National Provider Directory

National Provider Directory

Locations

1800 SW 27th Ave
Ste 301
Miami, FL 33145
Phone (305) 444-2651

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1255446902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE",
            "address_2": "SUITE 703",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "305-646-6722",
            "fax_number": "305-646-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE",
            "address_2": "SUITE 703",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "305-646-6722",
            "fax_number": "305-646-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MEDICAL NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-444-2651"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Apr 22, 2009; 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.