Organization Active NPI

Comprehensive Trauma and Trauma Consultants

  • Health Maintenance Organization
  • North Miami, FL
National Provider Identifier
1477917599
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
COMPREHENSIVE TRAUMA AND TRAUMA CONSULTANTS
Practice address
671 NW 119TH St
North Miami, FL 33168-2522
Phone
(305) 688-4178
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Rudolph Moise, D.O.
Title
President Ceo
Phone
(305) 688-4178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X FL Primary

Addresses

Primary practice location

671 NW 119TH St
North Miami, FL 33168-2522

Mailing address

671 NW 119TH St
North Miami, FL 33168-2522
Phone (305) 688-4178

Other identifiers 1

IdentifierTypeStateIssuer
OS4440OtherFLDO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1477917599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 NW 119TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331682522",
            "telephone_number": "305-688-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 NW 119TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331682522",
            "telephone_number": "305-688-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE TRAUMA AND TRAUMA CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOISE",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "305-688-4178",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DO",
            "identifier": "OS4440",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.