Organization Active NPI

Nue Life Medical Group (de), P.a.

  • Adult Mental Health Clinic/Center
  • Miami Beach, FL
National Provider Identifier
1578216875
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NUE LIFE MEDICAL GROUP (DE), P.A.
Practice address
309 23Rd St Ste 230
Miami Beach, FL 33139-1700
Phone
(305) 985-6170
Fax
(305) 985-6170
NPI assigned
Jan 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Authorized official

Name
Dr. Ben Medrano, MD
Title
President
Phone
(305) 985-6170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

309 23Rd St Ste 230
Miami Beach, FL 33139-1700

Mailing address

309 23Rd St Ste 230
Miami Beach, FL 33139-1700
Phone (305) 985-6170

National Provider Directory

National Provider Directory

Locations

309 23rd St
Ste 230
Miami Beach, FL 33139
Phone (305) 985-6170

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672012800000",
    "number": "1578216875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 23RD ST STE 230",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391700",
            "telephone_number": "305-985-6170",
            "fax_number": "305-985-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 23RD ST STE 230",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331391700",
            "telephone_number": "305-985-6170",
            "fax_number": "305-985-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUE LIFE MEDICAL GROUP (DE), P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-985-6170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.