NPIMap

Organization Active NPI

Jorge Paoli-Bruno, M.D., P.a.

  • Family Medicine Physician
  • Miami Lakes, FL
National Provider Identifier
1396094058
Registry record updated Sep 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 110249 Issued in FL
Legal business name
JORGE PAOLI-BRUNO, M.D., P.A.
Practice address
14505 Commerce Way
Suite 750
Miami Lakes, FL 33016-1597
Phone
(787) 381-0247
NPI assigned
Sep 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2012

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

Authorized official

Name
Dr. Jorge Paoli-Bruno, MDNPI 1982601159
Title
President
Phone
(787) 381-0247

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME 110249 FL Primary

Addresses

Primary practice location

14505 Commerce Way
Suite 750
Miami Lakes, FL 33016-1597

Mailing address

PO Box 227113
Doral, FL 33222-7113
Phone (787) 381-0247

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.

NPI Registry JSON

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

{
    "created_epoch": "1347148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347148800000",
    "number": "1396094058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227113",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "332227113",
            "telephone_number": "787-381-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 COMMERCE WAY",
            "address_2": "SUITE 750",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161597",
            "telephone_number": "787-381-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE PAOLI-BRUNO, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-09",
        "last_updated": "2012-09-09",
        "status": "A",
        "authorized_official_last_name": "PAOLI-BRUNO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-381-0247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 110249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2012; 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.