Organization Active NPI

Miami Hand, Plastic & Reconstructive Center LLC

  • Specialist
  • Coconut Grove, FL
National Provider Identifier
1407004427
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MIAMI HAND, PLASTIC & RECONSTRUCTIVE CENTER LLC
Practice address
2750 S Douglas Rd
2ND Floor
Coconut Grove, FL 33133-2764
Phone
(305) 426-3779
Fax
(305) 925-8100
NPI assigned
Sep 3, 2008
Last updated
Sep 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Roger K Khouri, MD
Title
Manager
Phone
(305) 426-3779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2750 S Douglas Rd
2ND Floor
Coconut Grove, FL 33133-2764

Mailing address

2750 S Douglas Rd
2ND Floor
Coconut Grove, FL 33133-2764
Phone (305) 426-3779

National Provider Directory

National Provider Directory

Locations

2750 SW 37th Ave
Fl 2
Coconut Grove, FL 33133
Phone (305) 361-8200

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1407004427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 S DOUGLAS RD",
            "address_2": "2ND FLOOR",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332764",
            "telephone_number": "305-426-3779",
            "fax_number": "305-925-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 S DOUGLAS RD",
            "address_2": "2ND FLOOR",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332764",
            "telephone_number": "305-426-3779",
            "fax_number": "305-925-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI HAND, PLASTIC & RECONSTRUCTIVE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "KHOURI",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-426-3779",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Grove, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.