Courtesy Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

HCC5843 Issued in FL

Legal business name

COURTESY MEDICAL GROUP, INC.

Practice address

1175 NE 125TH St
#409
North Miami, FL 33161-5015

Phone

(305) 899-0683

Fax

(305) 899-0685

NPI assigned

May 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Cayro X, ETC

Title

President

Phone

(305) 899-0683

Specialties & licenses 1

Addresses

Other names 1

• COURTESY MEDICAL GROUP, INC. Former legal business name

Tax ID family

Courtesy Medical Group Inc2 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.

• Courtesy Medical Group Inc.

  • Clinic/Center
  • Miami, FL
  • NPI 1073692505
  NPD tax ID

Locations

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467663096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 NE 125TH ST",
            "address_2": "#409",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615015",
            "telephone_number": "305-899-0683",
            "fax_number": "305-899-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 NE 125TH ST",
            "address_2": "#409",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615015",
            "telephone_number": "305-899-0683",
            "fax_number": "305-899-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTESY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAYRO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-899-0683",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "HCC5843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COURTESY MEDICAL GROUP, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in North Miami, FL
• Providers in North Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.