Organization Active NPI

Peridot Medical Group

  • Primary Care Clinic/Center
  • Miami, FL
National Provider Identifier
1457920308
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PERIDOT MEDICAL GROUP
Practice address
7374 SW 93Rd Ave Ste 202B
Miami, FL 33173-3246
Phone
(305) 551-0900
NPI assigned
Jun 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Dr. Ramon Leon, MD
Title
Medical Director
Phone
(305) 712-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

7374 SW 93Rd Ave Ste 202B
Miami, FL 33173-3246

Mailing address

7374 SW 93Rd Ave Ste 202B
Miami, FL 33173-3246
Phone (305) 551-0900

National Provider Directory

National Provider Directory

Locations

550 Biltmore Way
#1201
Coral Gables, FL 33134

475 Biltmore Way
Ste 314
Coral Gables, FL 33134
Phone (786) 866-7804

475 Biltmore Way
Ste 306
Coral Gables, FL 33134

7374 SW 93rd Ave
Ste 202B
Miami, FL 33173
Phone (305) 551-0900

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1457920308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7374 SW 93RD AVE STE 202B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733246",
            "telephone_number": "305-551-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7374 SW 93RD AVE STE 202B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733246",
            "telephone_number": "305-551-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIDOT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-712-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "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 Jan 8, 2025; 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.