Active NPI
Eduardo Gros, CHT
- Counselor
- Miami, FL
National Provider Identifier
1407087059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 5121 SW 69TH Ave
Miami, FL 33155-5737 - Phone
- (305) 662-6869
- NPI assigned
- Jul 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
5121 SW 69TH Ave
Miami, FL 33155-5737
Mailing address
5121 SW 69TH Ave
Miami, FL 33155-5737
Phone (305) 662-6869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 419395-9 | Other | FL | MIAMI-DADE COUNTY-STATE OF FLORIDA (TAX COLLECTOR) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248912000000",
"number": "1407087059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5121 SW 69TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555737",
"telephone_number": "305-662-6869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 SW 69TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331555737",
"telephone_number": "305-662-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROS",
"first_name": "EDUARDO",
"name_prefix": "Mr.",
"credential": "CHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-30",
"last_updated": "2009-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIAMI-DADE COUNTY-STATE OF FLORIDA (TAX COLLECTOR)",
"identifier": "419395-9",
"state": "FL"
}
],
"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 Jul 30, 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.