NPIMap

Organization Active NPI

Interamerican Medical Center Group, LLC

  • Family Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1609539832
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTERAMERICAN MEDICAL CENTER GROUP, LLC
Practice address
401 Coral Way Ste 201
Coral Gables, FL 33134-4924
Phone
(305) 446-8423
NPI assigned
Oct 14, 2021
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
INTERAMERICAN MEDICAL CENTER GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Carlos De Solo
Title
Chief Executive Officer
Phone
(305) 649-8100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

401 Coral Way Ste 201
Coral Gables, FL 33134-4924

Mailing address

1000 NW 57TH CT Ste 400
Miami, FL 33126-3292
Phone (305) 649-8100

National Provider Directory

National Provider Directory
Tax ID family
Interamerican Medical Center Group LLC11 organizations share this tax ID, including this one
Part of
Interamerican Medical Center Group LLC

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1609539832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263292",
            "telephone_number": "305-649-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORAL WAY STE 201",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344924",
            "telephone_number": "305-446-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERAMERICAN MEDICAL CENTER GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERAMERICAN MEDICAL CENTER GROUP LLC",
        "enumeration_date": "2021-10-14",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "DE SOLO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-649-8100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.