Organization Active NPI

Aj Medicine Group, PA

Doing business as Miami Medical Evalautions

  • Health Service Clinic/Center
  • Doral, FL
National Provider Identifier
1457017568
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
P21000095570As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Julio Nieto, MDNPI 1740777663
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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.