NPIMap

Organization Active NPI

Elite Dermatology

  • Dermatology Physician
  • Coral Gables, FL
National Provider Identifier
1508495003
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ELITE DERMATOLOGY
Practice address
401 Coral Way Ste 207
Coral Gables, FL 33134-4924
Phone
(305) 445-2941
NPI assigned
Apr 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Elie Cal
Title
Administrator
Phone
(305) 971-1210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

401 Coral Way Ste 207
Coral Gables, FL 33134-4924

Mailing address

401 Coral Way Ste 207
Coral Gables, FL 33134-4924
Phone (305) 445-2941

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1508495003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CORAL WAY STE 207",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344924",
            "telephone_number": "305-445-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORAL WAY STE 207",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344924",
            "telephone_number": "305-445-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "CAL",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-971-1210"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "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 6, 2020; 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.