Mivip Medical Group Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIVIP MEDICAL GROUP INC

Practice address

351 NW 42ND Ave
Suite 408
Miami, FL 33126-5683

Phone

(561) 392-3341

NPI assigned

Apr 9, 2013

Organization subpart

No

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

Authorized official

Name

Isaac Verbukh, MD

Title

Owber

Phone

(561) 392-3341

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mivip Behavioral Health LLC

  • Health Psychologist
  • Hollywood, FL
  • NPI 1932598851
  NPPES parent name

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1477996544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 CAMINO GARDENS BLVD",
            "address_2": "SUITE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325827",
            "telephone_number": "561-392-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 NW 42ND AVE",
            "address_2": "SUITE 408",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265683",
            "telephone_number": "561-392-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIVIP MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "VERBUKH",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWBER",
        "authorized_official_telephone_number": "561-392-3341",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "004L9",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Mitte Zambrano
• Mitto Health Center
• Mitto Health Center Inc
• Tania Mitwalli, MD
• Mivip Anesthesia Group LLC
• Mixter General Practice Corp
• Ingrid Mixter, M.D.
• Claudia Miyar Lopez
• Hebe B. Miyares, MSW, LCSW
• Marta Miyares

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.