NPIMap

Organization Active NPI

Healthnet Medical, LLC

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1457774879
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME115255 Issued in FL
Legal business name
HEALTHNET MEDICAL, LLC
Practice address
8660 W Flagler St Ste 111
Miami, FL 33144-2035
Phone
(786) 375-0138
Fax
(305) 901-1716
NPI assigned
Jan 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Dr. Raul Ebran-Gonzalez, M.D.
Title
President/Ceo
Phone
(786) 375-0138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME115255 FL Primary

Addresses

Primary practice location

8660 W Flagler St Ste 111
Miami, FL 33144-2035

Mailing address

8660 W Flagler St Ste 111
Miami, FL 33144-2035
Phone (786) 375-0138

National Provider Directory

National Provider Directory
Tax ID family
Healthnet Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1457774879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 W FLAGLER ST STE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442035",
            "telephone_number": "786-375-0138",
            "fax_number": "305-901-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 W FLAGLER ST STE 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442035",
            "telephone_number": "786-375-0138",
            "fax_number": "305-901-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHNET MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "EBRAN-GONZALEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "786-375-0138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME115255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.