Active NPI
Primenet Medical Group, Inc.
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1336574201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIMENET MEDICAL GROUP, INC.
- Practice address
- 9000 SW 137TH Ave
Suite 115
Miami, FL 33186-1435 - Phone
- (305) 387-1981
- Fax
- (305) 387-1939
- NPI assigned
- Sep 10, 2013
- 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
- Mrs. Maggie Torres
- Title
- Administrator
- Phone
- (954) 983-1220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FL | Primary |
Addresses
Primary practice location
9000 SW 137TH Ave
Suite 115
Miami, FL 33186-1435
Mailing address
9000 SW 137TH Ave
Suite 115
Miami, FL 33186-1435
Phone (305) 387-1981
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254724400 | Medicaid | FL | |
| 003094200 | Medicaid | FL | |
| 277530100 | Medicaid | FL | |
| 045341200 | Medicaid | FL | |
| 370428900 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Primenet Medical Group
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Pembroke Pines, FL
- NPI 1427014158
-
- Family Medicine Physician
- Margate, FL
- NPI 1104251081
Networks
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432598400000",
"number": "1336574201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 SW 137TH AVE",
"address_2": "SUITE 115",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861435",
"telephone_number": "305-387-1981",
"fax_number": "305-387-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 SW 137TH AVE",
"address_2": "SUITE 115",
"city": "MIAMI",
"state": "FL",
"postal_code": "331861435",
"telephone_number": "305-387-1981",
"fax_number": "305-387-1939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMENET MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-10",
"last_updated": "2015-05-26",
"status": "A",
"authorized_official_last_name": "TORRES",
"authorized_official_first_name": "MAGGIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "954-983-1220",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254724400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003094200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277530100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045341200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370428900",
"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 May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.