Organization Active NPI

Neurology-Neurosurgery of Dade and Broward

  • Neurological Surgery Physician
  • Hialeah, FL
National Provider Identifier
1376704775
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME89140
Legal business name
NEUROLOGY-NEUROSURGERY OF DADE AND BROWARD
Practice address
7100 W 20TH Ave
Suite 315
Hialeah, FL 33016-1811
Phone
(305) 557-6201
Fax
(305) 557-6203
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Mrs. Juliette S Cortes
Title
Owner
Phone
(305) 394-8594

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X ME89140 Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X ME89140 FL

Addresses

Primary practice location

7100 W 20TH Ave
Suite 315
Hialeah, FL 33016-1811

Mailing address

18520 NW 67TH Ave
Suite 112
Hialeah, FL 33015-3302
Phone (305) 557-6201

Other identifiers 1

IdentifierTypeStateIssuer
274781200MedicaidFL

National Provider Directory

National Provider Directory

Locations

2900 Palm Ave
Hialeah, FL 33012
Phone (305) 882-7747

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1376704775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18520 NW 67TH AVE",
            "address_2": "SUITE 112",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153302",
            "telephone_number": "305-557-6201",
            "fax_number": "305-557-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE",
            "address_2": "SUITE 315",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161811",
            "telephone_number": "305-557-6201",
            "fax_number": "305-557-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY-NEUROSURGERY OF DADE AND BROWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-394-8594",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": "ME89140",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME89140",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274781200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.