Organization Active NPI

La Maison Medical Practice

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1275764698
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MA49444 Issued in FL
Legal business name
LA MAISON MEDICAL PRACTICE
Practice address
6595 NW 36 Street
Suite 200
Miami, FL 33166
Phone
(305) 492-0010
Fax
(305) 492-0011
NPI assigned
Aug 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Maylin Valdes, LMT
Title
President
Phone
(305) 492-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X MA49444 FL Primary

Addresses

Primary practice location

6595 NW 36 Street
Suite 200
Miami, FL 33166

Mailing address

6595 NW 36 Street
Suite 200
Miami, FL 33166
Phone (305) 492-0010

Other identifiers 1

IdentifierTypeStateIssuer
MA49444OtherFLHEALTHCARE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1275764698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 NW 36 STREET",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-492-0010",
            "fax_number": "305-492-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 NW 36 STREET",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "305-492-0010",
            "fax_number": "305-492-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MAISON MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "MAYLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-492-0010",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "MA49444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE LICENSE",
            "identifier": "MA49444",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 7, 2009; 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.