NPIMap

Organization Active NPI

Sunny Isles Primary Care LLC

  • Internal Medicine Physician
  • Sunny Isles Beach, FL
National Provider Identifier
1578850749
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME42709 Issued in FL
Legal business name
SUNNY ISLES PRIMARY CARE LLC
Practice address
17395 N Bay Rd
Suite 200
Sunny Isles Beach, FL 33160-3334
Phone
(561) 314-8524
NPI assigned
Jul 7, 2011
Last updated
Jul 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Angel M Garcia, M.D.
Title
Medical Director
Phone
(561) 314-8524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME42709 FL Primary

Addresses

Primary practice location

17395 N Bay Rd
Suite 200
Sunny Isles Beach, FL 33160-3334

Mailing address

17395 N Bay Rd
Suite 200
Sunny Isles Beach, FL 33160-3334
Phone (561) 314-8524

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1578850749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17395 N BAY RD",
            "address_2": "SUITE 200",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603334",
            "telephone_number": "561-314-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 N BAY RD",
            "address_2": "SUITE 200",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603334",
            "telephone_number": "561-314-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY ISLES PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-314-8524",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME42709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunny Isles Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.