Active NPI
Susana Leal-Khouri, Mdpa
- Dermatology Physician
- Key Biscayne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- SUSANA LEAL-KHOURI, MDPA
- Practice address
- 580 Crandon Blvd#101
Key Biscayne, FL 33149-1399 - Phone
- (305) 361-8200
- Fax
- (305) 361-8005
- NPI assigned
- Jul 10, 2006
- Last updated
- Sep 8, 2010
- 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
- Dr. Susana Mirta Leal-Khouri, MD
- Title
- President
- Phone
- (305) 361-8200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary |
Addresses
Primary practice location
580 Crandon Blvd#101
Key Biscayne, FL 33149-1399
Mailing address
580 Crandon Blvd#101
Key Biscayne, FL 33149-1399
Phone (305) 361-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2750 SW 37th Ave
Fl 2
Coconut Grove, FL 33133
Phone (305) 361-8200
328 Crandon Blvd
Ste 227
Key Biscayne, FL 33149
Phone (305) 361-8005
580 Crandon Blvd
#101
Key Biscayne, FL 33149
Phone (305) 361-8200
580 Crandon Blvd
Ste 101
Key Biscayne, FL 33149
Phone (305) 361-8200
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatopathology Physician
- Key Biscayne, FL
- NPI 1871589168
-
- Surgery of the Hand (Surgery) Physician
- Coconut Grove, FL
- NPI 1932273240
-
- Family Medicine Physician
- Key Biscayne, FL
- NPI 1053445155
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1831555457
-
- Specialist
- Coconut Grove, FL
- NPI 1740232784
-
- Nurse Practitioner
- Miami, FL
- NPI 1063964583
-
- Medical Physician Assistant
- Coconut Grove, FL
- NPI 1003965302
-
- Dermatology Physician
- Miami, FL
- NPI 1194999227
-
- MOHS-Micrographic Surgery Physician
- Coconut Grove, FL
- NPI 1922461219
-
- Plastic Surgery Physician
- Key Biscayne, FL
- NPI 1124225529
-
- Dermatology Physician
- Coral Gables, FL
- NPI 1700839057
-
- Physician Assistant
- Key Biscayne, FL
- NPI 1275364804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283904000000",
"number": "1275567133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 CRANDON BLVD#101",
"city": "KEY BISCAYNE",
"state": "FL",
"postal_code": "331491399",
"telephone_number": "305-361-8200",
"fax_number": "305-361-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 CRANDON BLVD#101",
"city": "KEY BISCAYNE",
"state": "FL",
"postal_code": "331491399",
"telephone_number": "305-361-8200",
"fax_number": "305-361-8005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSANA LEAL-KHOURI, MDPA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2010-09-08",
"status": "A",
"authorized_official_last_name": "LEAL-KHOURI",
"authorized_official_first_name": "SUSANA",
"authorized_official_middle_name": "MIRTA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-361-8200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Key Biscayne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.