Innovative Cancer Institute LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

INNOVATIVE CANCER INSTITUTE LLC

Practice address

96 W 21St St
Hialeah, FL 33010-2614

Phone

(305) 669-6833

Fax

(305) 666-4030

NPI assigned

Dec 2, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Milan

Title

Office Manager

Phone

(305) 669-6833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Innovative Cancer Institute LLC

  • Radiation Oncology Physician
  • South Miami, FL
  • NPI 1528245867

  O20080811000786

  Same enrollment
• Innovative Cancer Institute LLC

  • Radiation Oncology Physician
  • South Miami, FL
  • NPI 1881097673

  O20080811000786

  Same enrollment

Tax ID family

Innovative Cancer Institute LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Innovative Cancer Institute LLC

  • Radiation Oncology Physician
  • South Miami, FL
  • NPI 1528245867
  NPD tax ID
• Innovative Cancer Institute LLC

  • Radiation Oncology Physician
  • South Miami, FL
  • NPI 1881097673
  NPD tax ID

Locations

Practitioners 3

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

• Beatriz Elena Amendola, MD

  • Radiation Oncology Physician
  • South Miami, FL
  • NPI 1073511333
  NPD
• Allie Marie Garcia-Serra, MD

  • Radiation Oncology Physician
  • South Miami, FL
  • NPI 1760496160
  NPD
• Michael Hall, MD

  • Radiation Oncology Physician
  • Pembroke Pines, FL
  • NPI 1386931764
  NPD

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1558029041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 SW 71ST ST STE 1-B",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433531",
            "telephone_number": "305-669-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 W 21ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330102614",
            "telephone_number": "305-669-6833",
            "fax_number": "305-666-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE CANCER INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "MILAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-669-6833",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana V Inigo, LMT
• Yanetsy Inigo, OTR, PTA
• Inkredible Minds LLC
• Tatiana Innocent, OT
• Innovation Medical Center Inc
• Inspire Kids Therapy Services Inc
• Institute of Advanced Cares, Inc
• Institute of Child & Family Health
• Institute of Preventive Medicine, LLC
• Institute of Rehabilitation & Help

• Radiation Oncology Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.