Nidi Medical Group Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC7030 Issued in FL

Legal business name

NIDI MEDICAL GROUP CORP

Practice address

6031 SW 8TH St
West Miami, FL 33144-5039

Phone

(305) 262-5552

Fax

(305) 262-5575

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Nidialys Vazquez

Title

Administration / Manager

Phone

(305) 817-3735

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427008929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 W 25TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165467",
            "telephone_number": "305-817-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 SW 8TH ST",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445039",
            "telephone_number": "305-262-5552",
            "fax_number": "305-262-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIDI MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "NIDIALYS",
        "authorized_official_title_or_position": "ADMINISTRATION / MANAGER",
        "authorized_official_telephone_number": "305-817-3735",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER FOR AHCA",
            "identifier": "7030",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olga E Navarro-Rodriguez, M.D.
• Jorge F. Netto, MD
• New York Medical Office Inc.
• New York Rehabilitation Inc.
• Nidal Masri M D P a
• Javier A Nieves Miranda, D.C
• Christopher Nieves
• Odyssey Community Mental Health Services LLC
• Emily Olivera Rodriguez
• Omega Medical Diagnostic Inc

• Clinic/Center in West Miami, FL
• Providers in West Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.