Kidney Specialty Center, Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY SPECIALTY CENTER, INC.

Practice address

4302 Alton Rd Ste 760
Miami Beach, FL 33140-2893

Phone

(305) 548-4063

Fax

(305) 545-1515

NPI assigned

Nov 6, 2021

Organization subpart

No

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

Authorized official

Name

Jorge Garcia

Title

Credentialing Director

Phone

(305) 606-0337

Specialties & licenses 1

Addresses

Other names 1

• KIDNEY SPECIALTY CENTER - MIAMI BEACH Other name

Locations

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

{
    "created_epoch": "1636156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636156800000",
    "number": "1417612243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 NW 12TH AVE STE C-5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331282205",
            "telephone_number": "305-548-4063",
            "fax_number": "305-545-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 760",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402893",
            "telephone_number": "305-548-4063",
            "fax_number": "305-545-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY SPECIALTY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-06",
        "last_updated": "2021-11-06",
        "certification_date": "2021-11-06",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "305-606-0337"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDNEY SPECIALTY CENTER - MIAMI BEACH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeffrey Khachatryan
• Michael Khalili, M.D.
• Mohammad Hassan Khazai, M.D.
• Kandace Marisa Kichler, MD
• Kidney Partners Miami Beach, LLC
• Paul Cecil Kilrain
• Hannah Sungeun Kim, DO
• Joon Hyung Kim, DPM
• David Howard Kinas, DO
• Kinetic Kids, Inc.

• Nephrology Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.