Active NPI
Aj Medicine Group, PA
Doing business as Miami Medical Evalautions
- Health Service Clinic/Center
- Doral, FL
National Provider Identifier
1457017568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- AJ MEDICINE GROUP, PA
- Doing business as
- Miami Medical Evalautions
- Practice address
- 9615 NW 41St St
Doral, FL 33178-2973 - Phone
- (305) 635-1445
- NPI assigned
- Nov 12, 2021
- Last updated
- Nov 12, 2021
- Organization subpart
- Yes
- Parent organization
- P21000095570
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julio Nieto, MD
- Title
- President
- Phone
- (305) 635-1445
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | NU | Primary |
Addresses
Primary practice location
9615 NW 41St St
Doral, FL 33178-2973
Mailing address
6690 SW 97TH Ave
Miami, FL 33173-1468
Phone (305) 635-1445
Other names 1
- Miami Medical Evalautions
National Provider Directory
National Provider Directory- Part of
- Aj Medicine Group PA
Locations
6690 SW 97th Ave
Miami, FL 33173
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Doral, FL
- NPI 1740777663
-
- Physical Therapist
- Doral, FL
- NPI 1063984946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636675200000",
"number": "1457017568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6690 SW 97TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331731468",
"telephone_number": "305-635-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9615 NW 41ST ST",
"city": "DORAL",
"state": "FL",
"postal_code": "331782973",
"telephone_number": "305-635-1445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AJ MEDICINE GROUP, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "P21000095570",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A",
"authorized_official_last_name": "NIETO",
"authorized_official_first_name": "JULIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-635-1445",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Miami Medical Evalautions",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 12, 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.