Organization Active NPI

I & B Medical Associates Inc

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1437211356
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
I & B MEDICAL ASSOCIATES INC
Practice address
9400 NW 12TH Ave Ste 1
Miami, FL 33150-2026
Phone
(305) 835-9264
Fax
(305) 835-9354
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Etzer Dolce
Title
Director of Operations
Phone
(305) 901-6251

Specialties & licenses 1

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

Addresses

Primary practice location

9400 NW 12TH Ave Ste 1
Miami, FL 33150-2026

Mailing address

9400 NW 12TH Ave Ste 1
Miami, FL 33150-2026
Phone (305) 835-9264

Other identifiers 1

IdentifierTypeStateIssuer
263088500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041026000286 FL Part B Supplier - Clinic/Group Practice 3971564667 Receives reassigned benefits from 6 practitioners
Practice locations: Miami, FL; North Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

9400 NW 12th Ave
Ste 1
Miami, FL 33150
Phone (305) 835-9264

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCFDCD

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1437211356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 NW 12TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502026",
            "telephone_number": "305-835-9264",
            "fax_number": "305-835-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 NW 12TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502026",
            "telephone_number": "305-835-9264",
            "fax_number": "305-835-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I & B MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "DOLCE",
        "authorized_official_first_name": "ETZER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "305-901-6251"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263088500",
            "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 May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.