Organization Active NPI

Doctor's Professional Group, Inc.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1356386379
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOCTOR'S PROFESSIONAL GROUP, INC.
Practice address
1393 SW 1St St
Suite 415
Miami, FL 33135-2321
Phone
(305) 541-0017
NPI assigned
Jun 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jesus G. Riveron
Title
President
Phone
(305) 541-0017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1393 SW 1St St
Suite 415
Miami, FL 33135-2321

Mailing address

1393 SW 1St St
Suite 415
Miami, FL 33135-2321
Phone (305) 541-0017

National Provider Directory

National Provider Directory

Locations

1393 SW 1st St
Ste 415
Miami, FL 33135
Phone (305) 541-0017

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356386379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 SW 1ST ST",
            "address_2": "SUITE 415",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352321",
            "telephone_number": "305-541-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 SW 1ST ST",
            "address_2": "SUITE 415",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352321",
            "telephone_number": "305-541-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR'S PROFESSIONAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERON",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-541-0017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.