Intyma LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INTYMA LLC

Practice address

11430 N Kendall Dr Ste 108
Miami, FL 33176-1041

Phone

(305) 677-3578

NPI assigned

Apr 7, 2022

Last updated

Apr 7, 2022By 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

Ms. Briseida Gordillo, APRNNPI 1174709141

Title

Aprn

Phone

(305) 677-3578

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Briseida Gordillo, ARNP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1174709141
  NPD Authorized official

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1588306948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11430 N KENDALL DR STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761041",
            "telephone_number": "305-677-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11430 N KENDALL DR STE 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761041",
            "telephone_number": "305-677-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTYMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "GORDILLO",
        "authorized_official_first_name": "BRISEIDA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "305-677-3578",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

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