Active NPI
Sabucedo Nephrology Group Inc
- Nephrology Physician
- South Miami, FL
National Provider Identifier
1336645936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME117297
- Legal business name
- SABUCEDO NEPHROLOGY GROUP INC
- Practice address
- 6140 SW 70TH St FL 2
South Miami, FL 33143-3419 - Phone
- (305) 793-0605
- NPI assigned
- Apr 3, 2018
- 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
- Alberto J Sabucedo, MD
- Title
- President
- Phone
- (305) 793-0605
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME117297 | FL | |
| Nephrology Physician | 207RN0300X | ME117297 | FL | Primary |
Addresses
Primary practice location
6140 SW 70TH St FL 2
South Miami, FL 33143-3419
Mailing address
690 W Park Dr Apt 208
Miami, FL 33172-5325
Phone (305) 793-0605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522713600000",
"number": "1336645936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 W PARK DR APT 208",
"city": "MIAMI",
"state": "FL",
"postal_code": "331725325",
"telephone_number": "305-793-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140 SW 70TH ST FL 2",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331433419",
"telephone_number": "305-793-0605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SABUCEDO NEPHROLOGY GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-03",
"last_updated": "2018-04-03",
"status": "A",
"authorized_official_last_name": "SABUCEDO",
"authorized_official_first_name": "ALBERTO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-793-0605",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME117297",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME117297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.