NPIMap

Organization Active NPI

South Florida Doctors Group, PLLC

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1407512759
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTH FLORIDA DOCTORS GROUP, PLLC
Practice address
3412 W 84TH St Ste 104
Hialeah, FL 33018-4918
Phone
(305) 512-9002
Fax
(855) 840-7185
NPI assigned
Nov 11, 2021
Last updated
Nov 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Aurelio Torres Consuegra, MDNPI 1376720458
Title
Owner
Phone
(954) 442-0784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3412 W 84TH St Ste 104
Hialeah, FL 33018-4918

Mailing address

18503 Pines Blvd Ste 306
Pembroke Pines, FL 33029-1406
Phone (954) 442-0784

National Provider Directory

National Provider Directory
Tax ID family
South Florida Doctors Group PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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, 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": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1407512759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18503 PINES BLVD STE 306",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330291406",
            "telephone_number": "954-442-0784",
            "fax_number": "855-840-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 W 84TH ST STE 104",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184918",
            "telephone_number": "305-512-9002",
            "fax_number": "855-840-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA DOCTORS GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "TORRES CONSUEGRA",
        "authorized_official_first_name": "AURELIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-442-0784",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.