Active NPI
Boston Medical Group, Inc.
- Urology Physician
- Coral Gables, FL
National Provider Identifier
1255759965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- BOSTON MEDICAL GROUP, INC.
- Practice address
- 999 Ponce de Leon Blvd.
Suite 740
Coral Gables, FL 33134 - Phone
- (305) 448-5515
- Fax
- (305) 448-5131
- NPI assigned
- Mar 31, 2014
- 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
- Mr. Quoc H. Ha
- Title
- Director
- Phone
- (949) 735-8451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
999 Ponce de Leon Blvd.
Suite 740
Coral Gables, FL 33134
Mailing address
999 Ponce de Leon Blvd.
Suite 740
Coral Gables, FL 33134
Phone (305) 448-5515
National Provider Directory
National Provider Directory- Tax ID family
- Boston Medical Group Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urology Physician
- Maitland, FL
- NPI 1174941884
-
- Urology Physician
- Fort Lauderdale, FL
- NPI 1720406440
Locations
999 Ponce de Leon Blvd
Ste 740
Coral Gables, FL 33134
Phone (305) 448-5515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396224000000",
"number": "1255759965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 PONCE DE LEON BLVD.",
"address_2": "SUITE 740",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33134",
"telephone_number": "305-448-5515",
"fax_number": "305-448-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 PONCE DE LEON BLVD.",
"address_2": "SUITE 740",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33134",
"telephone_number": "305-448-5515",
"fax_number": "305-448-5131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTON MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-31",
"last_updated": "2014-03-31",
"status": "A",
"authorized_official_last_name": "HA",
"authorized_official_first_name": "QUOC",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "949-735-8451",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.