Organization Active NPI

Image of South Miami Inc.

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1386976736
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
IMAGE OF SOUTH MIAMI INC.
Practice address
8567 Coral Way # 396
Miami, FL 33155-2335
Phone
(786) 487-5579
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Mr. Jorge Aristondo
Title
Manager
Phone
(786) 487-5579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8567 Coral Way # 396
Miami, FL 33155-2335

Mailing address

8567 Coral Way # 396
Miami, FL 33155-2335
Phone (786) 487-5579

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1386976736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8567 CORAL WAY # 396",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552335",
            "telephone_number": "786-487-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8567 CORAL WAY # 396",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552335",
            "telephone_number": "786-487-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE OF SOUTH MIAMI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "ARISTONDO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-487-5579",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 10, 2010; 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.