Organization Active NPI

CPC Medical Center@Miller Drive

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1568726636
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CPC MEDICAL CENTER@MILLER DRIVE
Practice address
10240 SW 56TH St
106
Miami, FL 33165-7071
Phone
(305) 598-8805
NPI assigned
Jul 3, 2012
Last updated
Jul 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Richard Chervony
Title
Vice President
Phone
(305) 854-6661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

10240 SW 56TH St
106
Miami, FL 33165-7071

Mailing address

10240 SW 56TH St
106
Miami, FL 33165-7071
Phone (305) 598-8805

National Provider Directory

National Provider Directory

Locations

10240 SW 56th St
Ste 106
Miami, FL 33165
Phone (305) 598-8805

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1568726636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 SW 56TH ST",
            "address_2": "106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657071",
            "telephone_number": "305-598-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 SW 56TH ST",
            "address_2": "106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657071",
            "telephone_number": "305-598-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPC MEDICAL CENTER@MILLER DRIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "CHERVONY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "305-854-6661"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "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 Jul 3, 2012; 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.