Active NPI
Nephrology Specialists of Florida, LLC.
- Nephrology Physician
- Coral Gables, FL
National Provider Identifier
1477083269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- NEPHROLOGY SPECIALISTS OF FLORIDA, LLC.
- Practice address
- 747 Ponce de Leon Blvd Ste 605
Coral Gables, FL 33134-2074 - Phone
- (305) 407-9900
- NPI assigned
- Jun 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose M Cardona-Guzman, M.D.
- Title
- Owner
- Phone
- (305) 407-9900
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
747 Ponce de Leon Blvd Ste 605
Coral Gables, FL 33134-2074
Mailing address
PO Box 652256
Miami, FL 33265-2256
Phone (305) 407-9900
Other practice location 1
12905 SW 42nd Street
Suite 213
Miami, FL 33175-2912
Phone (305) 705-5651
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GI3222Z | Other | FL | MEDICARE |
| 005961600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Miami, FL
- NPI 1861709230
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1891382867
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1548794878
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1861909467
-
- Nurse Practitioner
- Palmetto Bay, FL
- NPI 1922583699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1477083269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 652256",
"city": "MIAMI",
"state": "FL",
"postal_code": "332652256",
"telephone_number": "305-407-9900",
"fax_number": "888-981-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 PONCE DE LEON BLVD STE 605",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342074",
"telephone_number": "305-407-9900"
}
],
"practiceLocations": [
{
"address_1": "12905 SW 42nd Street",
"address_2": "Suite 213",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331752912",
"country_code": "US",
"telephone_number": "305-705-5651",
"fax_number": "888-981-2863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEPHROLOGY SPECIALISTS OF FLORIDA, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "CARDONA-GUZMAN",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-407-9900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "GI3222Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005961600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.