South Dade Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTH DADE MEDICINE

Practice address

8000 SW 117TH Ave Ste 201
Miami, FL 33183-4809

Phone

(305) 279-0152

Fax

(305) 279-0152

NPI assigned

Aug 25, 2017

Last updated

Aug 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Vazquez, MDNPI 1255315180

Title

MGR

Phone

(305) 279-0152

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos A Vazquez, M.D

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1255315180
  Medicare reassignment Care Compare group NPD Authorized official
• Dario Pancorbo, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1811972235
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503619200000",
    "number": "1508383084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830757",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332830757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 SW 117TH AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834809",
            "telephone_number": "305-279-0152",
            "fax_number": "305-279-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DADE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-279-0152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Carolina Bellamy Group, Inc.
• South Dade Hospital Medicine
• South Dade Medical Associates, LLC
• South Dade Medical Center, Inc
• South Dade Medical Rehabilitation
• South Dade OB-GYN LLC
• South Dade Opco LLC
• South Dade Orthopaedic Associates PA
• South Dade Orthopedic
• South Dade Pain Center LLC

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.

Verify at the official NPI Registry.