Organization Active NPI

Community Health Care of North Miami Beach, LLC

  • Pain Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1568866291
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
COMMUNITY HEALTH CARE OF NORTH MIAMI BEACH, LLC
Practice address
1131 NE 163Rd St
North Miami Beach, FL 33162-4502
Phone
(305) 749-6039
Fax
(786) 916-5001
NPI assigned
Oct 8, 2014
Last updated
Oct 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Marcos Canino II
Title
Officer
Phone
(305) 749-6039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X FL Primary

Addresses

Primary practice location

1131 NE 163Rd St
North Miami Beach, FL 33162-4502

Mailing address

1131 NE 163Rd St
North Miami Beach, FL 33162-4502
Phone (305) 749-6039

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1568866291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624502",
            "telephone_number": "305-749-6039",
            "fax_number": "786-916-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 NE 163RD ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624502",
            "telephone_number": "305-749-6039",
            "fax_number": "786-916-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CARE OF NORTH MIAMI BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "CANINO",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "305-749-6039",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.