Organization Active NPI

Unicardio Medical Center Corp

  • Interventional Cardiology Physician
  • Miami, FL
National Provider Identifier
1609266790
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
UNICARDIO MEDICAL CENTER CORP
Practice address
61 Grand Canal Dr Ste 200
Miami, FL 33144-2554
Phone
(305) 456-5621
Fax
(305) 646-1134
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Aldo Heriberto Martinez Fleites, M.D.NPI 1588896120
Title
President
Phone
(305) 456-5621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

61 Grand Canal Dr Ste 200
Miami, FL 33144-2554

Mailing address

61 Grand Canal Dr Ste 200
Miami, FL 33144-2554
Phone (305) 456-5621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150921002929 FL Part B Supplier - Clinic/Group Practice 4082921283 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

61 Grand Canal Dr
Ste 200
Miami, FL 33144
Phone (305) 456-5621

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1609266790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 GRAND CANAL DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442554",
            "telephone_number": "305-456-5621",
            "fax_number": "305-646-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 GRAND CANAL DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442554",
            "telephone_number": "305-456-5621",
            "fax_number": "305-646-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICARDIO MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ FLEITES",
        "authorized_official_first_name": "ALDO",
        "authorized_official_middle_name": "HERIBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-456-5621",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.