Organization Active NPI

Direct Primary Care of Coconut Grove

  • Primary Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1376218453
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
DIRECT PRIMARY CARE OF COCONUT GROVE
Doing business as
Direct Primary Care of Coconut Grove
Practice address
3436 SW 23Rd Ter
Miami, FL 33145-3023
Phone
(305) 871-9608
Fax
(305) 390-4659
NPI assigned
Aug 11, 2021
Last updated
Aug 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Mr. Camilo Andres Murillo, APRN, FNP-BCNPI 1245642180
Title
Ceo
Phone
(305) 812-2208

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

3436 SW 23Rd Ter
Miami, FL 33145-3023

Mailing address

3436 SW 23Rd Ter
Miami, FL 33145-3023
Phone (305) 871-9608

Other names 1

  • Direct Primary Care of Coconut Grove Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1376218453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 SW 23RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453023",
            "telephone_number": "305-871-9608",
            "fax_number": "305-390-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 SW 23RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453023",
            "telephone_number": "305-871-9608",
            "fax_number": "305-390-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT PRIMARY CARE OF COCONUT GROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "MURILLO",
        "authorized_official_first_name": "CAMILO",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-812-2208",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Primary Care of Coconut Grove",
            "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 Aug 11, 2021; 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.