Organization Active NPI

GM Medical Office Inc

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1396791323
Registry record updated Oct 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GM MEDICAL OFFICE INC
Practice address
10760 W Flagler St
Ste 11
Miami, FL 33174-4404
Phone
(305) 554-5144
Fax
(305) 554-5177
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2011

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

Authorized official

Name
Ariel Duran Mondragon, MD
Title
President/ Owner
Phone
(305) 554-5144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

10760 W Flagler St
Ste 11
Miami, FL 33174-4404

Mailing address

10760 W Flagler St
Ste 11
Miami, FL 33174-4404
Phone (305) 554-5144

National Provider Directory

National Provider Directory

Locations

10760 W Flagler St
Ste 11
Miami, FL 33174
Phone (305) 554-5144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319846400000",
    "number": "1396791323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10760 W FLAGLER ST",
            "address_2": "STE 11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744404",
            "telephone_number": "305-554-5144",
            "fax_number": "305-554-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 W FLAGLER ST",
            "address_2": "STE 11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744404",
            "telephone_number": "305-554-5144",
            "fax_number": "305-554-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GM MEDICAL OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-10-29",
        "status": "A",
        "authorized_official_last_name": "DURAN MONDRAGON",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "305-554-5144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE 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 Oct 29, 2011; 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.