Active NPI
Direct Primary Care of Miami, PA
- Primary Care Clinic/Center
- Doral, FL
National Provider Identifier
1376396192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- DIRECT PRIMARY CARE OF MIAMI, PA
- Practice address
- 9615 NW 41St St
Doral, FL 33178-2973 - Phone
- (305) 635-1445
- Fax
- (305) 634-4522
- NPI assigned
- Apr 10, 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
- Julio Alejandro Nieto, MD
- Title
- President/ Ceo
- Phone
- (786) 246-2751
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
9615 NW 41St St
Doral, FL 33178-2973
Mailing address
9615 NW 41St St
Doral, FL 33178-2973
Phone (305) 635-1445
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Doral, FL
- NPI 1740777663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712707200000",
"number": "1376396192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9615 NW 41ST ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331782973",
"telephone_number": "305-635-1445",
"fax_number": "305-634-4522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9615 NW 41ST ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331782973",
"telephone_number": "305-635-1445",
"fax_number": "305-634-4522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIRECT PRIMARY CARE OF MIAMI, PA",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A",
"authorized_official_last_name": "NIETO",
"authorized_official_first_name": "JULIO",
"authorized_official_middle_name": "ALEJANDRO",
"authorized_official_title_or_position": "PRESIDENT/ CEO",
"authorized_official_telephone_number": "786-246-2751",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.