Neurointerventional Consultants, PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME114714 Issued in FL

Legal business name

NEUROINTERVENTIONAL CONSULTANTS, PA

Practice address

100 Lincoln Rd
# 1403
Miami Beach, FL 33139-2013

Phone

(210) 287-7311

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

Patricia M Fernandez, MD

Title

Director / President

Phone

(210) 287-7311

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1609291368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LINCOLN RD",
            "address_2": "# 1403",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LINCOLN RD",
            "address_2": "# 1403",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392013",
            "telephone_number": "210-287-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROINTERVENTIONAL CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR / PRESIDENT",
        "authorized_official_telephone_number": "210-287-7311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME114714",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME114714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.