Organization Active NPI

FXM Clinical Research Miami LLC

  • Research Clinic/Center
  • Miami, FL
National Provider Identifier
1497234512
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
License
PA9110219 Issued in FL
Legal business name
FXM CLINICAL RESEARCH MIAMI LLC
Practice address
11760 Bird Rd Ste 452
Miami, FL 33175-3598
Phone
(305) 220-5222
Fax
(305) 675-3152
NPI assigned
Aug 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Maritza D. Diego, PA-C
Title
Chief Executive Officer
Phone
(305) 220-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Clinic/Center 261QR1100X PA9110219 FL Primary

Addresses

Primary practice location

11760 Bird Rd Ste 452
Miami, FL 33175-3598

Mailing address

11760 Bird Rd Ste 452
Miami, FL 33175-3598
Phone (305) 220-5222

National Provider Directory

National Provider Directory

Locations

11760 Bird Rd
Ste 452
Miami, FL 33175
Phone (305) 220-5222

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1497234512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD STE 452",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753598",
            "telephone_number": "305-220-5222",
            "fax_number": "305-675-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD STE 452",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753598",
            "telephone_number": "305-220-5222",
            "fax_number": "305-675-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FXM CLINICAL RESEARCH MIAMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "DIEGO",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-220-5222",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": "FL",
            "license": "PA9110219",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 9, 2018; 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.