Jordyco Diagnostics LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

LC11484 Issued in FL

Legal business name

JORDYCO DIAGNOSTICS LLC

Practice address

3915 Biscayne Blvd Ste 301
Miami, FL 33137-3730

Phone

(561) 200-2566

NPI assigned

Feb 26, 2015

Organization subpart

No

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

Authorized official

Name

Isabel Panesso

Title

Credentialing

Phone

(561) 200-2566

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265824387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 BISCAYNE BLVD STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373730",
            "telephone_number": "561-200-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 BISCAYNE BLVD STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373730",
            "telephone_number": "561-200-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDYCO DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PANESSO",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "561-200-2566"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "LC11484",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "LC11484",
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": "FL",
            "license": "LC11484",
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "FL",
            "license": "LC11484",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "LC11484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martine Eugene Jordan, ARNP
• Melanie Jordan, MJ
• Melanie Jordan
• Tamara Jordan, DO
• Taylor Jordan, CAA
• Jorge a Fernandez-Sanchez, MD, PA
• Jorge a Herrera PHD PA
• Jorge a. Rodriguez, P.L.
• Jorge Acevedo Crespo MD PA
• Yorkis Damian Jorge Avila

• Multi-Specialty Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.