Florida International University Board of Trustees

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FLORIDA INTERNATIONAL UNIVERSITY BOARD OF TRUSTEES

Practice address

800 SW 108TH Ave Ste 100
Miami, FL 33174-2555

Phone

(305) 348-3627

Fax

(305) 348-4261

NPI assigned

Aug 11, 2010

Organization subpart

No

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

Authorized official

Name

Kenneth A. Jessell

Title

Fiu Chief Financial Officer and Sen

Phone

(305) 348-2101

Specialties & licenses 14

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muhammad Aziz, M.D.

  • Hospitalist Physician
  • Miami, FL
  • NPI 1942466859

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Guillermo Izquierdo Pretel, M.D.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1043410699
  Medicare reassignment Care Compare group NPD
• Shweta Akhouri, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1982099669
  Medicare reassignment NPD
• Lizzeth Nataly Alarcon, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1639532575
  Medicare reassignment NPD
• Aron W Berkman, M.D.

  • Medical Oncology Physician
  • Miami, FL
  • NPI 1447347851
  Medicare reassignment NPD
• Julia Cornelia Bisschops, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1235499542
  Medicare reassignment NPD
• David R Brown, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1073578373
  Medicare reassignment NPD
• Luis Marcelo Carcache, MD

  • Psychiatry Physician
  • Hialeah, FL
  • NPI 1881866796
  Medicare reassignment NPD
• Gloria M Coronel-Couto, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1447213335
  Medicare reassignment NPD
• Doris Alessandra Cubas, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1417511338
  Medicare reassignment NPD
• Mercedes Florez-White, M.D.

  • Dermatology Physician
  • Miami, FL
  • NPI 1194122770
  Medicare reassignment NPD
• Roberto Enrique Gimenez, APRN, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1508239872
  Medicare reassignment NPD

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1598070849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH STREET",
            "address_2": "AHC 2 693",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33199",
            "telephone_number": "305-348-3627",
            "fax_number": "305-348-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SW 108TH AVE STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742555",
            "telephone_number": "305-348-3627",
            "fax_number": "305-348-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 S Andrews Ave Ste 1090",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333162510",
            "country_code": "US",
            "telephone_number": "954-523-2727",
            "fax_number": "954-523-8814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-348-3726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11200 SW 8th St # 2693",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331990001",
            "country_code": "US",
            "telephone_number": "305-348-3627",
            "fax_number": "305-348-4261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA INTERNATIONAL UNIVERSITY BOARD OF TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "JESSELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "FIU CHIEF FINANCIAL OFFICER AND SEN",
        "authorized_official_telephone_number": "305-348-2101"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida International Medical Research, LLC.
• Florida International Ultrasound
• Florida International University
• Florida International University
• Florida International University
• Florida International University Board of Trustees Center for Children
• Florida Kids Behavioral Analysis Corp
• Florida Managed Care Systems
• Florida Med-Care, Inc
• Florida Med-Physical Rehab

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.