Organization Active NPI

Als Medical Group Inc

  • General Practice Physician
  • Doral, FL
National Provider Identifier
1447562996
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
HCC 8784 Issued in FL
Legal business name
ALS MEDICAL GROUP INC
Practice address
8180 NW 36TH St
Suite 301
Doral, FL 33166-6645
Phone
(305) 592-1409
Fax
(305) 592-1412
NPI assigned
Jul 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Lazaro R Saavedra
Title
President
Phone
(305) 592-1409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X HCC 8784 FL Primary

Addresses

Primary practice location

8180 NW 36TH St
Suite 301
Doral, FL 33166-6645

Mailing address

8180 NW 36TH St
Suite 301
Doral, FL 33166-6645
Phone (305) 592-1409

Other identifiers 1

IdentifierTypeStateIssuer
NCC 8784OtherFLAHCA

National Provider Directory

National Provider Directory

Locations

8180 NW 36th St
Ste 301
Doral, FL 33166
Phone (305) 592-1409

8180 NW 36th St
Ste 300
Doral, FL 33166
Phone (305) 592-1409

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1447562996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST",
            "address_2": "SUITE 301",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666645",
            "telephone_number": "305-592-1409",
            "fax_number": "305-592-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST",
            "address_2": "SUITE 301",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666645",
            "telephone_number": "305-592-1409",
            "fax_number": "305-592-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-592-1409"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "HCC 8784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "NCC 8784",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.