Organization Active NPI

Psychologist Technology Inc

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1568535672
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
HCC7382 Issued in FL
Legal business name
PSYCHOLOGIST TECHNOLOGY INC
Practice address
9600 SW 8TH St
Suite No. 45
Miami, FL 33174-2900
Phone
(305) 456-0891
Fax
(305) 456-0942
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Authorized official

Name
Mr. Roilan Pineiro, PRESIDENT
Title
President
Phone
(305) 456-0891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X HCC7382 FL Primary

Addresses

Primary practice location

9600 SW 8TH St
Suite No. 45
Miami, FL 33174-2900

Mailing address

9600 SW 8TH St
Suite No. 45
Miami, FL 33174-2900
Phone (305) 456-0891

Other identifiers 1

IdentifierTypeStateIssuer
HCC7382OtherFLHEALTH CARE CLINIC

National Provider Directory

National Provider Directory

Locations

42 NW 27th Ave
Ste 304
Miami, FL 33125
Phone (305) 642-4243

9600 SW 8th St
Ste 45
Miami, FL 33174
Phone (786) 485-3174

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1568535672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 SW 8TH ST",
            "address_2": "SUITE NO. 45",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742900",
            "telephone_number": "305-456-0891",
            "fax_number": "305-456-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW 8TH ST",
            "address_2": "SUITE NO. 45",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742900",
            "telephone_number": "305-456-0891",
            "fax_number": "305-456-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGIST TECHNOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "PINEIRO",
        "authorized_official_first_name": "ROILAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-456-0891",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "HCC7382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE CLINIC",
            "identifier": "HCC7382",
            "state": "FL"
        }
    ],
    "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 Apr 19, 2013; 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.