Individual provider Active NPI

George Humberto Bordenave, MD

  • Cardiovascular Disease Physician
  • Miami, FL
National Provider Identifier
1326035767
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0055836 Issued in FL
Practice address
8720 N Kendall Dr
Miami, FL 33176-2299
Phone
(305) 446-2444
Fax
(305) 446-7847
NPI assigned
Sep 30, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0055836 FL Primary
Cardiovascular Disease Physician 207RC0000X MD0000036724 TN

Addresses

Primary practice location

8720 N Kendall Dr
Miami, FL 33176-2299

Mailing address

8720 N Kendall Dr Ste 115
Miami, FL 33176-2208
Phone (305) 446-2444

Other identifiers 1

IdentifierTypeStateIssuer
06465800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041111000854 FL Practitioner - Cardiovascular Disease (Cardiology) 0244293025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8720 SW 88 St
Suite 115
Miami, FL 33176-2208

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0055836FLMDCardiovascular Disease Physician
MD0000036724TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doral Imaging Institute LLC CurrentSince Nov 27, 2023 Accepting new patients
Lifestream, Inc. CurrentSince May 21, 2012 Accepting new patients
George Bordenave MD PA Cardiovascular Disease CurrentSince Jul 11, 2007 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jan 1, 2026 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

4908 SW 8th St
Coral Gables, FL 33134
Phone (305) 446-2444

5848 Atlantic Ave
Ste 143
Delray Beach, FL 33484
Phone (561) 270-6950

4998 10th Ave N
Greenacres, FL 33463
Phone (305) 965-4997

8720 SW 88th St
Ste 115
Miami, FL 33176
Phone (305) 446-2444

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1326035767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 N KENDALL DR STE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762208",
            "telephone_number": "305-446-2444",
            "fax_number": "305-446-7847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762299",
            "telephone_number": "305-446-2444",
            "fax_number": "305-446-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDENAVE",
        "first_name": "GEORGE",
        "middle_name": "HUMBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-03-07",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0055836",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "MD0000036724",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06465800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.