Organization Active NPI

Miami Gardens Orthopedics and Pain Management

  • Clinic/Center
  • Miami Gardens, FL
National Provider Identifier
1346977600
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MIAMI GARDENS ORTHOPEDICS AND PAIN MANAGEMENT
Practice address
4888 NW 183Rd St Ste 113
Miami Gardens, FL 33055-2940
Phone
(305) 317-3990
Fax
(305) 549-5314
NPI assigned
Aug 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Maricela Nicolas
Title
Owner
Phone
(305) 303-9154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4888 NW 183Rd St Ste 113
Miami Gardens, FL 33055-2940

Mailing address

4888 NW 183Rd St Ste 113
Miami Gardens, FL 33055-2940
Phone (305) 317-3990

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL token Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

4888 NW 183rd St
Ste 113
Miami Gardens, FL 33055
Phone (305) 317-3990

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1346977600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4888 NW 183RD ST STE 113",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552940",
            "telephone_number": "305-317-3990",
            "fax_number": "305-549-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 NW 183RD ST STE 113",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552940",
            "telephone_number": "305-317-3990",
            "fax_number": "305-549-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI GARDENS ORTHOPEDICS AND PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "MARICELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-303-9154"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "token",
            "affiliation": "N",
            "endpointDescription": "token",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4888 NW 183rd St Ste 113",
            "city": "Miami Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330552940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.