Organization Active NPI

Wound Technology Network

  • Student in an Organized Health Care Education/Training Program
  • Miami, FL
National Provider Identifier
1265737399
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
ARNP9267311 Issued in FL
Legal business name
WOUND TECHNOLOGY NETWORK
Practice address
19736 SW 130TH Avenue Rd
Miami, FL 33177-4010
Phone
(786) 417-6012
NPI assigned
Jan 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Mrs. Moraima Rodriguez, ARNP
Title
Nurse Practitioner
Phone
(786) 417-6012

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X ARNP9267311 FL Primary

Addresses

Primary practice location

19736 SW 130TH Avenue Rd
Miami, FL 33177-4010

Mailing address

19736 SW 130TH Avenue Rd
Miami, FL 33177-4010
Phone (786) 417-6012

Other names 1

  • no Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1265737399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19736 SW 130TH AVENUE RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774010",
            "telephone_number": "786-417-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19736 SW 130TH AVENUE RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774010",
            "telephone_number": "786-417-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND TECHNOLOGY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MORAIMA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "786-417-6012",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "ARNP9267311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "no",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 20, 2011; 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.