Adagio Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADAGIO MEDICAL LLC

Practice address

4302 Alton Rd
Suit 105
Miami Beach, FL 33140-2891

Phone

(786) 463-1786

Fax

(786) 284-8459

NPI assigned

Jun 28, 2012

Last updated

Jun 28, 2012By 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

Marjorie Velasco

Title

Medical Assistan

Phone

(908) 377-4682

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1346504990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19101 MYSTIC POINTE DR",
            "address_2": "SUIT 2604",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804512",
            "telephone_number": "908-347-3131",
            "fax_number": "786-284-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD",
            "address_2": "SUIT 105",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402891",
            "telephone_number": "786-463-1786",
            "fax_number": "786-284-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAGIO MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "MEDICAL ASSISTAN",
        "authorized_official_telephone_number": "908-377-4682"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Miami Beach, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.