Active NPI
Abba Medical Group LLC
- General Practice Physician
- Miami, FL
National Provider Identifier
1285499145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- ABBA MEDICAL GROUP LLC
- Practice address
- 11420 N Kendall Dr Ste 110
Miami, FL 33176-1039 - Phone
- (786) 353-2536
- Fax
- (786) 353-2521
- NPI assigned
- Feb 19, 2024
- 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
- Jorge Enrique Fernandez Ramirez, MD
- Title
- Owner/Medical Doctor
- Phone
- (786) 353-2536
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Pediatrics Physician | 208000000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
11420 N Kendall Dr Ste 110
Miami, FL 33176-1039
Mailing address
11420 N Kendall Dr Ste 110
Miami, FL 33176-1039
Phone (786) 353-2536
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2294663 | Abba Medical Group LLC | Certificate of waiver | Nov 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
11420 N Kendall Dr
Ste 110
Miami, FL 33176
Phone (786) 353-2536
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Miami, FL
- NPI 1063668689
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1285499145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11420 N KENDALL DR STE 110",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761039",
"telephone_number": "786-353-2536",
"fax_number": "786-353-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11420 N KENDALL DR STE 110",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761039",
"telephone_number": "786-353-2536",
"fax_number": "786-353-2521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABBA MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-19",
"last_updated": "2024-03-19",
"certification_date": "2024-02-29",
"status": "A",
"authorized_official_last_name": "FERNANDEZ RAMIREZ",
"authorized_official_first_name": "JORGE",
"authorized_official_middle_name": "ENRIQUE",
"authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
"authorized_official_telephone_number": "786-353-2536",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.