NPIMap

Organization Active NPI

MGM Medical Group Management LLC

  • Exclusive Provider Organization
  • Cutler Bay, FL
National Provider Identifier
1265866693
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
MGM MEDICAL GROUP MANAGEMENT LLC
Practice address
8318 SW 193Rd St
Cutler Bay, FL 33157-8085
Phone
(786) 395-1165
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Mr. Mario Armando Espino Jr.
Title
Ceo/President
Phone
(786) 395-1165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

8318 SW 193Rd St
Cutler Bay, FL 33157-8085

Mailing address

8318 SW 193Rd St
Cutler Bay, FL 33157-8085
Phone (786) 395-1165

National Provider Directory

National Provider Directory
Tax ID family
MGM Ipa Dade 001 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1265866693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8318 SW 193RD ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331578085",
            "telephone_number": "786-395-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8318 SW 193RD ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331578085",
            "telephone_number": "786-395-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM MEDICAL GROUP MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "ESPINO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ARMANDO",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "786-395-1165",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.