Organization Active NPI

Pain Resource Networks, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Coral Gables, FL
National Provider Identifier
1497337588
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PAIN RESOURCE NETWORKS, INC.
Practice address
1825 Ponce de Leon Blvd Ste 142
Coral Gables, FL 33134-4418
Phone
(305) 213-7717
NPI assigned
Apr 27, 2021
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Robert E Jacobson, MD
Title
President
Phone
(305) 903-0019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

1825 Ponce de Leon Blvd Ste 142
Coral Gables, FL 33134-4418

Mailing address

1825 Ponce de Leon Blvd Ste 142
Coral Gables, FL 33134-4418
Phone (305) 213-7717

National Provider Directory

National Provider Directory

Locations

1825 Ponce de Leon Blvd
Coral Gables, FL 33134
Phone (305) 213-7717

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1497337588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 PONCE DE LEON BLVD STE 142",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344418",
            "telephone_number": "305-213-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 PONCE DE LEON BLVD STE 142",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344418",
            "telephone_number": "305-213-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RESOURCE NETWORKS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-903-0019",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 27, 2021; 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.