Medical Group at South Miami Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME62402 Issued in FL

Legal business name

MEDICAL GROUP AT SOUTH MIAMI INC

Practice address

6701 Sunset Dr
212
South Miami, FL 33143-4529

Phone

(305) 663-0710

Fax

(305) 665-3051

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alejandro Octavio Roca, M.DNPI 1629034343

Title

President of Corporation

Phone

(305) 663-0710

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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

• Alejandro Octavio Roca, M.D.

  • Internal Medicine Physician
  • South Miami, FL
  • NPI 1629034343
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Province Hong, ARNP

  • Adult Health Nurse Practitioner
  • South Miami, FL
  • NPI 1861798092
  Medicare reassignment Care Compare group NPD
• Farah Maria Horta Bonnin, APRN

  • Family Nurse Practitioner
  • South Miami, FL
  • NPI 1831720218
  Medicare reassignment Care Compare group NPD
• Alexander Plana

  • Family Nurse Practitioner
  • South Miami, FL
  • NPI 1568240893
  Medicare reassignment Care Compare group NPD
• Rosanna Buigas, MD

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1952398216
  NPD (past)
• Manuel Gonzalez Jr., M.D.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1780640607
  NPD (past)
• Silvia Marisol Robalino, M.D.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1679764120

  Single Specialty

  NPD (past)
• Elio A Fernandez, MD

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1720073877
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1619086410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 SUNSET DR",
            "address_2": "212",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434529",
            "telephone_number": "305-663-0710",
            "fax_number": "305-665-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 SUNSET DR",
            "address_2": "212",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434529",
            "telephone_number": "305-663-0710",
            "fax_number": "305-665-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP AT SOUTH MIAMI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "ROCA",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "OCTAVIO",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "305-663-0710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME62402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268288500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Rose McKnight, OT
• Jennifer Lynn McNally, ARNP
• Med Eye Optical LLC
• Med Therapy & Spa, Inc.
• Medeye Surgery Center, LLC
• Medical Infusion Solutions, LLC
• Medical Masage Professionals LLC
• Evelyn Medina, LCSW
• Ignacio Ramon Medina, ARNP
• Marieddy Y Medina

• Specialist in South Miami, FL
• Providers in South Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.