Organization Active NPI

Evolution Healthcare Inc

  • Health Service Clinic/Center
  • Miami, FL
National Provider Identifier
1417371436
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME91433 Issued in FL
Legal business name
EVOLUTION HEALTHCARE INC
Practice address
2450 SW 137TH Ave Ste 206
Miami, FL 33175-6312
Phone
(786) 660-2433
Fax
(305) 551-1121
NPI assigned
Feb 11, 2014
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Luis Lopez Mas, MD
Title
Medical Director
Phone
(786) 660-2433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME91433 FL Primary

Addresses

Primary practice location

2450 SW 137TH Ave Ste 206
Miami, FL 33175-6312

Mailing address

2450 SW 137TH Ave Ste 206
Miami, FL 33175-6312
Phone (786) 660-2433

National Provider Directory

National Provider Directory

Locations

2450 SW 137th Ave
Ste 206
Miami, FL 33175
Phone (305) 381-5420

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1417371436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 SW 137TH AVE STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756312",
            "telephone_number": "786-660-2433",
            "fax_number": "305-551-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 SW 137TH AVE STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756312",
            "telephone_number": "786-660-2433",
            "fax_number": "305-551-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ MAS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-660-2433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME91433",
            "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 Feb 11, 2014; 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.