Active NPI
Orthomiami
Doing business as OrthoMiami Doral
- Sports Medicine (Orthopaedic Surgery) Physician
- Doral, FL
National Provider Identifier
1376385914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- ORTHOMIAMI
- Doing business as
- OrthoMiami Doral
- Practice address
- 3905 NW 107TH Ave Ste 403
Doral, FL 33178-2785 - Phone
- (305) 596-2828
- Fax
- (305) 596-6446
- NPI assigned
- Jun 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Hommen
- Title
- Business Manager
- Phone
- (305) 596-2828
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary | ||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X |
Addresses
Primary practice location
3905 NW 107TH Ave Ste 403
Doral, FL 33178-2785
Mailing address
3905 NW 107TH Ave Ste 403
Doral, FL 33178-2785
Phone (305) 596-2828
Other names 1
- OrthoMiami Doral
National Provider Directory
National Provider Directory- Tax ID family
- Orthomiami
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Doral, FL
- NPI 1235828914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718150400000",
"number": "1376385914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 NW 107TH AVE STE 403",
"city": "DORAL",
"state": "FL",
"postal_code": "331782785",
"telephone_number": "305-596-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 NW 107TH AVE STE 403",
"city": "DORAL",
"state": "FL",
"postal_code": "331782785",
"telephone_number": "305-596-2828",
"fax_number": "305-596-6446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOMIAMI",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-12",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A",
"authorized_official_last_name": "HOMMEN",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "305-596-2828"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OrthoMiami Doral",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Doral, FL
- Lilianne Gabriela Ortega
- Ortho Florida, LLC (Miami Center for Orthopedic Care, LLC)
- Ortho Florida, LLC (Ortho Miami)
- Ortho Spine Center Inc
- Orthomiami
- Orthonow Doral
- Orthonow, LLC
- Orthopaedic Network Solutions, LLC
- Orthopedix Network Solutions of Florida II, LLC
- Orthopedix Network Solutions of South Florida, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.