SRC Profesional Corp

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SRC PROFESIONAL CORP

Practice address

13925 SW 179TH St
Miami, FL 33177-7743

Phone

(786) 237-9124

NPI assigned

May 9, 2019

Organization subpart

No

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

Authorized official

Name

Sergio Rodriguez-ChapleNPI 1043791148

Title

Arnp

Phone

(786) 237-9124

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sergio Rodriguez-Chaple

  • Nurse Practitioner
  • Miami, FL
  • NPI 1043791148
  NPD Authorized official

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1447815972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13925 SW 179TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777743",
            "telephone_number": "786-237-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 SW 179TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777743",
            "telephone_number": "786-237-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRC PROFESIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-CHAPLE",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "786-237-9124"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.