Organization Active NPI

CR Medical Group Inc

  • Specialist
  • Miami, FL
National Provider Identifier
1467641472
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0066446 Issued in FL
Legal business name
CR MEDICAL GROUP INC
Practice address
15439 SW 137TH Ave
Miami, FL 33177-1279
Phone
(305) 259-5570
Fax
(305) 259-5533
NPI assigned
Oct 16, 2007
Last updated
Aug 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Dr. Rolando Barbaro Padro, M.DNPI 1174638027
Title
President
Phone
(305) 259-5570

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
Specialist 174400000X ME0066446 FL Primary

Addresses

Primary practice location

15439 SW 137TH Ave
Miami, FL 33177-1279

Mailing address

15439 SW 137TH Ave
Miami, FL 33177-1279
Phone (305) 259-5570

Other identifiers 1

IdentifierTypeStateIssuer
264395200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110224000888 FL Part B Supplier - Clinic/Group Practice 0840471702 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

15439 SW 137th Ave
Miami, FL 33177
Phone (305) 259-5570

Practitioners & affiliated clinicians

Practitioners 4

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": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1467641472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15439 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771279",
            "telephone_number": "305-259-5570",
            "fax_number": "305-259-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15439 SW 137TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771279",
            "telephone_number": "305-259-5570",
            "fax_number": "305-259-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CR MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "PADRO",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "BARBARO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-259-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0066446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264395200",
            "state": "FL"
        }
    ],
    "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 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.