Kag Healthcare Group, Inc.

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

Legal business name

KAG HEALTHCARE GROUP, INC.

Practice address

3850 SW 87TH Ave Ste 201
Miami, FL 33165-5473

Phone

(786) 801-1394

Fax

(305) 466-9543

NPI assigned

Jul 13, 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, CREDENTIALING

Title

Credentialing Director

Phone

(305) 606-0337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1437721230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 SW 87TH AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655473",
            "telephone_number": "786-801-1394",
            "fax_number": "305-466-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 SW 87TH AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655473",
            "telephone_number": "786-801-1394",
            "fax_number": "305-466-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAG HEALTHCARE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "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",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Health Clinical Nurse Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Family Health Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.