Organization Active NPI

An Excellent Medical Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1619002615
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME80610 Issued in FL
Legal business name
AN EXCELLENT MEDICAL INC
Practice address
9995 SW 72ND St Ste 203
Miami, FL 33173-4662
Phone
(305) 273-3601
Fax
(305) 273-3635
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Roberto Gonzalez
Title
President
Phone
(305) 273-3601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME80610 FL Primary

Addresses

Primary practice location

9995 SW 72ND St Ste 203
Miami, FL 33173-4662

Mailing address

9995 SW 72ND St Ste 203
Miami, FL 33173-4662
Phone (305) 273-3601

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1619002615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9995 SW 72ND ST STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734662",
            "telephone_number": "305-273-3601",
            "fax_number": "305-273-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 SW 72ND ST STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734662",
            "telephone_number": "305-273-3601",
            "fax_number": "305-273-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN EXCELLENT MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-273-3601"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME80610",
            "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 Jul 14, 2009; 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.