Miami Cardiopulmonary Institute LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

N/A-OP CARDIAC CATH Issued in FL

Legal business name

MIAMI CARDIOPULMONARY INSTITUTE LLC

Practice address

3200 Ponce de Leon Blvd
Coral Gables, FL 33134-7239

Phone

(305) 448-9990

Fax

(305) 448-9993

NPI assigned

May 31, 2005

Last updated

Jun 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ildefonso J Mas Jr., M.D.

Title

President/Medical Director

Phone

(305) 448-9990

Specialties & licenses 1

Addresses

Other identifiers 9

Practitioners 1

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.

• Jose J Centurion, MD

  • Cardiovascular Disease Physician
  • Miami Shores, FL
  • NPI 1376532655
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1306849773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347239",
            "telephone_number": "305-448-9990",
            "fax_number": "305-448-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347239",
            "telephone_number": "305-448-9990",
            "fax_number": "305-448-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI CARDIOPULMONARY INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "MAS JR.",
        "authorized_official_first_name": "ILDEFONSO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-448-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "N/A-OP CARDIAC CATH",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268091200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "45678",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V2751",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3321067",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3556558",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO",
            "identifier": "7388537",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "V3352",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD (CATH)",
            "identifier": "V3352",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "291498",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miami Accident Clinic, Inc
• Miami Aesthetic Surgery Associates LLC
• Miami ASC LP (The Endoscopy Center)
• Miami Back Institute
• Miami Behavioral Health Center Inc
• Miami Cardiovascular Services LLC
• Miami Center for Wellness and Aging
• Miami Comprehensive Medicine Group PA
• Miami Counseling & Resource Center, Inc.
• Miami Fertility

• Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.