Organization Active NPI

Diverse Clinical Research LLC

  • Research Study Specialist
  • Miami, FL
National Provider Identifier
1548908643
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
Legal business name
DIVERSE CLINICAL RESEARCH LLC
Practice address
12859 SW 42ND St
Miami, FL 33175-3434
Phone
(305) 582-7752
NPI assigned
May 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Aramis Rodriguez, APRNNPI 1538704036
Title
Ceo
Phone
(305) 582-7752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 1744R1102X Primary

Addresses

Primary practice location

12859 SW 42ND St
Miami, FL 33175-3434

Mailing address

12859 SW 42ND St
Miami, FL 33175-3434

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2264988Diverse Clinical Research, LLC12859 SW 42ND Street, Ste 12859, Miami, FL 33175Certificate of waiverJul 20, 2028

National Provider Directory

National Provider Directory

Locations

12859 SW 42nd St
Miami, FL 33175
Phone (305) 225-5043

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1548908643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12859 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12859 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753434",
            "telephone_number": "305-582-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE CLINICAL RESEARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ARAMIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-582-7752",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Research Study",
            "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 Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.