Internal Medicine of Miami Gardens Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME51638 Issued in FL

Legal business name

INTERNAL MEDICINE OF MIAMI GARDENS INC

Practice address

18300 NW 62ND Ave
Suite 300
Hialeah, FL 33015-8200

Phone

(305) 628-4600

Fax

(305) 628-8090

NPI assigned

Aug 14, 2006

Last updated

May 12, 2021By 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. Fernando De Jesus Sanchez, M.D.NPI 1699730648

Title

Medical Director

Phone

(305) 628-4600

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: fernandosanchez@immg.directbygreenway.com

Practitioners 7

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.

• Fernando De Jesus Sanchez, MD

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1699730648
  Medicare reassignment Care Compare group NPD Authorized official
• Miguel Angel Arredondo Lopez, APRN

  • Family Nurse Practitioner
  • Miami Gardens, FL
  • NPI 1073295788

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Joel Carmona Perez, APRN, FNP-C

  • Family Nurse Practitioner
  • Hialeah, FL
  • NPI 1700311958
  Medicare reassignment Care Compare group NPD
• Heriberto Fernandez, MD

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1598087520
  Medicare reassignment NPD
• Dana Garcia Gonzalez, ARNP

  • Nurse Practitioner
  • Miami, FL
  • NPI 1114687696

  Multi-Specialty

  Medicare reassignment NPD
• Jesus Alvaro Garcia, APRN

  • Family Nurse Practitioner
  • Miami Gardens, FL
  • NPI 1639441645
  Medicare reassignment NPD
• Maria Ofelia Mirabal, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
  • NPI 1073240032
  Medicare reassignment NPD

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1306859012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 NW 62ND AVE",
            "address_2": "SUITE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158200",
            "telephone_number": "305-628-4600",
            "fax_number": "305-628-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 NW 62ND AVE",
            "address_2": "SUITE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158200",
            "telephone_number": "305-628-4600",
            "fax_number": "305-628-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF MIAMI GARDENS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "DE JESUS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-628-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME51638",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85282",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME51638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265636101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265636100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FERNANDOSANCHEZ@IMMG.DIRECTBYGREENWAY.COM",
            "affiliation": "N",
            "address_1": "18300 NW 62nd Ave",
            "address_2": "Suite 300",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330158200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Internal Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.

Verify at the official NPI Registry.