NPIMap

Organization Active NPI

Florida International University

  • Student Health Clinic/Center
  • Miami, FL
National Provider Identifier
1356757298
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
FLORIDA INTERNATIONAL UNIVERSITY
Practice address
1180 SW 113TH Ave
Arena Room 156
Miami, FL 33174
Phone
(800) 555-9073
Fax
(972) 367-3452
NPI assigned
Jul 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Julie Berg
Title
Sr. Associate Athletic Director
Phone
(305) 348-2352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1180 SW 113TH Ave
Arena Room 156
Miami, FL 33174

Mailing address

1180 SW 113TH Ave
Arena Room 156
Miami, FL 33174
Phone (800) 555-9073

Other names 1

  • FIU Sports Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Florida International University Board of Trustees3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1356757298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SW 113TH AVE",
            "address_2": "ARENA ROOM 156",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33174",
            "telephone_number": "800-555-9073",
            "fax_number": "972-367-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SW 113TH AVE",
            "address_2": "ARENA ROOM 156",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33174",
            "telephone_number": "800-555-9073",
            "fax_number": "972-367-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INTERNATIONAL UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "SR. ASSOCIATE ATHLETIC DIRECTOR",
        "authorized_official_telephone_number": "305-348-2352"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIU Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 19, 2016; 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.