South Dade Pain Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME67736 Issued in FL

Legal business name

SOUTH DADE PAIN CENTER LLC

Practice address

9847 SW 40TH St
Miami, FL 33165-3993

Phone

(305) 228-8605

Fax

(305) 228-8604

NPI assigned

Feb 11, 2010

Last updated

Feb 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafael F Aviles, MD

Title

Owner

Phone

(305) 228-8605

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1568794857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9847 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653993",
            "telephone_number": "305-228-8605",
            "fax_number": "305-228-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9847 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653993",
            "telephone_number": "305-228-8605",
            "fax_number": "305-228-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DADE PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "AVILES",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-228-8605",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME67736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Dade Medicine
• South Dade OB-GYN LLC
• South Dade Opco LLC
• South Dade Orthopaedic Associates PA
• South Dade Orthopedic
• South Dade Primary Care, LLC (Claremedica Viking of North Florida)
• South Dade Primary Care, LLC (Claremedica Viking of North Florida)
• South Dade Urgent Care
• South Deering Retirement Home, Inc.
• South Dental at Forest Lakes Kendall Square,Inc

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.