Organization Active NPI

Innovative Research LLC

  • Research Clinic/Center
  • Miami, FL
National Provider Identifier
1538884200
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
Legal business name
INNOVATIVE RESEARCH LLC
Practice address
9570 SW 107TH Ave Ste 201
Miami, FL 33176-2791
Phone
(305) 219-3240
NPI assigned
Oct 5, 2022
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Yanet Bonet Gongora, APRNNPI 1124658240
Title
Owner
Phone
(305) 219-3240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

9570 SW 107TH Ave Ste 201
Miami, FL 33176-2791

Mailing address

9570 SW 107TH Ave Ste 201
Miami, FL 33176-2791
Phone (305) 219-3240

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1538884200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9570 SW 107TH AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762791",
            "telephone_number": "305-219-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 SW 107TH AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762791",
            "telephone_number": "305-219-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE RESEARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "BONET GONGORA",
        "authorized_official_first_name": "YANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-219-3240",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "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 Oct 5, 2022; 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.